Jason Russel D'Amico in Santa Ana - Licensed Psychiatric Technician
Jason Russel D'Amico - NPI 1184722316
Jason Russel D'Amico is a Licensed Psychiatric Technician in Santa Ana, California. Jason Russel D'Amico practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Jason Russel D'Amico is 1184722316. The last update date is 2023-02-22.
Jason Russel D'Amico's current location address is 1030 W Warner Ave, Santa Ana, California. You can contact this provider via phone number 7148346900. The mailing address for Jason Russel D'Amico is 1030 W Warner Ave, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Russel D'Amico |
|---|---|
| Address | 1030 W Warner Ave, Santa Ana, California |
| Phone Number | 7148346900 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1184722316 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2023-02-22 |
Provider Mailing Address Detail
| Address | 1030 W Warner Ave |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927073147 |
| Phone Number | 7148346900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT27519 |
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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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What is the unique 10-digit identifier code issued to Jason Russel D'Amico by the Centers for Medicare & Medicaid Services?
The Jason Russel D'Amico has been assigned the NPI (National Provider Identifier) 1184722316 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jason Russel D'Amico's facilities are geographically located?
The facilities of Jason Russel D'Amico are physically situated at the following location: 1030 W Warner Ave, Santa Ana, CA, 927073147.
What is the Jason Russel D'Amico's area of specialization and corresponding taxonomy classification?
The Jason Russel D'Amico's specialty field is Licensed Psychiatric Technician, and it falls under the taxonomy code 167G00000X, which categorizes healthcare providers based on their specialties.
When did Jason Russel D'Amico receive its 1184722316 assignment?
The Jason Russel D'Amico was assigned its 1184722316 on 2006-09-20, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jason Russel D'Amico most recently updated or revised?
The information pertaining to Jason Russel D'Amico, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-22.