Organization
BRUCE YANOFSKY PHD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN F. MADRAZO TORRES PSY.D. (AUTHORIZED RREPRESENTATIVE)
(619) 730-9603
Entity
Organization
Contact information
Practice address
224 LANDIS AVE, CHULA VISTA, CA 91910-2609
(619) 730-9603
(619) 730-9603
Mailing address
900 LANE AVE STE 125, CHULA VISTA, CA 91914-3503
(619) 240-3377
(619) 240-3373
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
07/17/2023
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