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Lisa Renae Calderilla
Licensed Psychiatric Technician in Santa Fe Springs, California
NPI 1376175802

Lisa Renae Calderilla is a Licensed Psychiatric Technician based in Santa Fe Springs, CA. Lisa Renae Calderilla practices in Santa Fe Springs, CA. The NPI Number for Lisa Renae Calderilla is 1376175802 and holds a License No. 41579 (California).

The current practice location address for Lisa Renae Calderilla is 11731 Telegraph Rd, Santa Fe Springs, CA and can be reached out via phone at 562-949-8455.

Location: 11731 Telegraph Rd, Santa Fe Springs, CA, 90670-3675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376175802
Provider Name
Lisa Renae Calderilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
11731 Telegraph Rd, Santa Fe Springs, CA, 90670-3675
Phone Number
562-949-8455
Fax Number
Provider Enumeration Date
02/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11731 Telegraph Rd
City
Santa Fe Springs
State
California
Zip
90670-3675
Phone Number
562-949-8455
Fax Number
person
Provider Business Mailing Address Details
Address
11731 Telegraph Rd
City
Santa Fe Springs
State
California
Zip
90670-3675
Phone Number
562-949-8455
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
41579 (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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