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Victor Pantaleon

NPI 1720858707 · on the registry since 2024

Practice

Address
776 S State St Ste 103
Ukiah, CA 95482
Phone
(707) 463-4915
Organisation at this address
Mendocino County Youth Project
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-02

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