Individual
ELA BARREDO BICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
679 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90005-1355
(626) 254-5010
Mailing address
12816 FINCHLEY ST, BALDWIN PARK, CA 91706-3623
(626) 549-9788
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33820
CA
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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