NPI 1053094425

Simon David

Practitioner Licensed Psychiatric Technician Colton, CA

Practice location

Address: 2511 S McCarty Dr, Colton, CA 92324-9220
Phone: (909) 855-4428

Registered specialties

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence PT40884 (CA)

Other Licensed Psychiatric Technician providers in California →

Registry record

NPI: 1053094425
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2023
Record last updated: 10 Aug 2023

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.