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Wendell Sacramento
Licensed Psychiatric Technician in Los Angeles, California
NPI 1063078202

Wendell Sacramento is a Licensed Psychiatric Technician based in Los Angeles, CA. Wendell Sacramento practices in Los Angeles, CA. The NPI Number for Wendell Sacramento is 1063078202 and holds a License No. PT40820 (California).

The current practice location address for Wendell Sacramento is 679 S New Hampshire Ave, Los Angeles, CA and can be reached out via phone at 213-639-2663.

Location: 679 S New Hampshire Ave, Los Angeles, CA, 90033-1064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063078202
Provider Name
Wendell Sacramento
Credential
Provider Entity Type
Individual
Gender
Male
Address
679 S New Hampshire Ave, Los Angeles, CA, 90033-1064
Phone Number
213-639-2663
Fax Number
Provider Enumeration Date
05/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
679 S New Hampshire Ave
City
Los Angeles
State
California
Zip
90005-1355
Phone Number
213-639-2663
Fax Number
person
Provider Business Mailing Address Details
Address
679 S New Hampshire Ave
City
Los Angeles
State
California
Zip
90005-1355
Phone Number
213-639-2663
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT40820 (California)
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 psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
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