Karlomikhail Nono Buenaseda I, PT
Individual provider Active NPI Licensed Psychiatric Technician · Pico Rivera, CA
NPI 1104011345 · NPPES record last updated Sep 11, 2007
Key facts
- NPI
- 1104011345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Psychiatric Technician 167G00000X
- License
- PT 33472 (CA)
- Practice address
- 9140 Whittier Blvd
Pico Rivera, CA 90660-2444 - Phone
- (562) 801-4626
- Fax
- (562) 801-4630
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 33472 | CA | MD | Licensed Psychiatric Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT 33472 | CA | Yes |
Addresses
Primary practice location
9140 Whittier Blvd
Pico Rivera, CA 90660-2444
Mailing address
226 E 31St St
Long Beach, CA 90807-5004
Phone (562) 912-7541
Other providers in Pico Rivera, CA
- Cassandra Bonney
- Vanessa Borja
- Catherine Bracamonte
- Remedios Bustria Braganza
- Stephanie Nichole Bravo
- Kathy Bui
- Desiray Buntain
- Burnetts Icf DD H
- Laura Bustamante
- Linda Franco Bustamante
All providers in Pico Rivera, CA · Licensed Psychiatric Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.