Individual
MR. HERBERT CEBOLLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1328 2ND ST, SANTA MONICA, CA 90401-1122
(310) 394-6889
Mailing address
1328 2ND ST, SANTA MONICA, CA 90401-1122
(310) 394-6889
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT19401
CA
Other
Enumeration date
10/19/2006
Last updated
03/07/2023
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