Individual
MR. HAIHONG DELA SIERRA SY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
3150 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-3940
(805) 577-0830
Mailing address
1621 BILLINGS ST, OXNARD, CA 93033-7413
(626) 646-9011
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 34612
CA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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