Individual
DANIEL ARMANDO HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9101 WHITTIER BLVD, PICO RIVERA, CA 90660-2405
(562) 801-4626
Mailing address
7949 7TH ST, DOWNEY, CA 90241-2211
(562) 341-4958
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT41134
CA
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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