Coyo Burciaga in Covina - Licensed Psychiatric Technician

Coyo Burciaga - NPI 1053451062

Coyo Burciaga is a Licensed Psychiatric Technician in Covina, California. Coyo Burciaga practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Coyo Burciaga is 1053451062. The last update date is 2007-07-08.

Coyo Burciaga's current location address is 1126 N Grand Ave Ste D, Covina, California. You can contact this provider via phone number 6269671667 and fax number 6263319641. The mailing address for Coyo Burciaga is 1126 N Grand Ave Ste D, Covina, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Coyo Burciaga
Address 1126 N Grand Ave Ste D, Covina, California
Phone Number 6269671667
Fax Number 6263319641
Sole Proprietor Y
Credentials PT

NPI Number Detail

NPI Number 1053451062
Provider Enumeration Date 2007-02-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1126 N Grand Ave Ste D
City Covina
State California (CA)
Post Code 917241552
Phone Number 6269671667
Fax Number 6263319641

Provider's Primary Taxonomy Detail

Speciality Licensed Psychiatric Technician
Taxonomy 167G00000X
Licence No PT 30761
Definition:
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psych

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FAQs about Coyo Burciaga

What is the Coyo Burciaga's unique identification number?

The Coyo Burciaga has been assigned the NPI (National Provider Identifier) Number 1053451062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Coyo Burciaga is geographically located?

The Coyo Burciaga is physically situated at the following location: 1126 N Grand Ave Ste D, Covina, CA, 917241552.

What is the Coyo Burciaga's specialty and taxonomy code?

The Coyo Burciaga's specialty is Licensed Psychiatric Technician, and the corresponding taxonomy code is 167G00000X.

On what date was the 1053451062 assigned to Coyo Burciaga?

The Coyo Burciaga was issued its 1053451062 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Coyo Burciaga, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Coyo Burciaga, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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