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Kenneth John Peralta Sanga
Licensed Psychiatric Technician in Sylmar, California
NPI 1114399581

Kenneth John Peralta Sanga is a Licensed Psychiatric Technician based in Sylmar, CA. Kenneth John Peralta Sanga practices in Sylmar, CA. The NPI Number for Kenneth John Peralta Sanga is 1114399581 and holds a License No. PT36258 (California).

The current practice location address for Kenneth John Peralta Sanga is 14659 Olive View Dr, Sylmar, CA and can be reached out via phone at 818-485-0888 and via fax at 818-833-5690.

Location: 14659 Olive View Dr, Sylmar, CA, 91342-1652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114399581
Provider Name
Kenneth John Peralta Sanga
Credential
Provider Entity Type
Individual
Gender
Male
Address
14659 Olive View Dr, Sylmar, CA, 91342-1652
Phone Number
818-485-0888
Fax Number
818-833-5690
Provider Enumeration Date
10/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14659 Olive View Dr
City
Sylmar
State
California
Zip
91342-1652
Phone Number
818-485-0888
Fax Number
818-833-5690
person
Provider Business Mailing Address Details
Address
14659 Olive View Dr
City
Sylmar
State
California
Zip
91342-1652
Phone Number
818-485-0888
Fax Number
818-833-5690
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT36258 (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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