Whalio Doctors

NPI 1023500295

Samantha Fuentes, LPT

Practitioner Licensed Psychiatric Technician Los Angeles, CA

Practice location

Address
679 S New Hampshire Ave Fl 4, Los Angeles, CA 90005-1355
Phone
(213) 639-2500
Mailing address
150 S Beach Blvd APT 285, La Habra, CA 90631-5174

Registered specialties

Licensed Psychiatric Technician Primary
Nursing Service Providers Taxonomy 167G00000X Licence 40404 (CA)

Registry record

NPI
1023500295
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Jun 2018
Record last updated
4 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.