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Search › California › Licensed Psychiatric Technician

Ivan Herrera Hernandez

NPI 1306358064 · on the registry since 2017 · sole proprietor

Practice

Address
1212 N California St
Stockton, CA 95202
Phone
(209) 280-5923
Organisation at this address
Sasha Jackson, Llc
County Of San Joaquin
Larisa Kouperschmidt Md Llc
Bhs Children And Youth Serv
San Joaquin County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
840

Registry record

Primary taxonomy
Licensed Psychiatric Technician
167G00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-11-02

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