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Petra Betancourt
NPI 1194900027 · on the registry since 2008 · sole proprietor
Practice
- Address
- 11565 Laurel Canyon Blvd.
Suite #116
Mission Hills, CA 91430 - Phone
- (818) 361-5030
- Fax
- (818) 361-1764
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 225400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California