Search › California › Peer Specialist
Edgar Ontiveros
NPI 1891517124 · on the registry since 2024
Practice
- Address
- 14096 Lakeshore Dr
Clearlake, CA 95422 - Phone
- (707) 994-4261
Registry record
- Primary taxonomy
- Peer Specialist
175T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-30
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