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Miu Ken Fong
Licensed Psychiatric Technician in San Leandro, California
NPI 1437818028

Miu Ken Fong is a Licensed Psychiatric Technician based in San Leandro, CA. Miu Ken Fong practices in San Leandro, CA. The NPI Number for Miu Ken Fong is 1437818028 and holds a License No. 28430 (California).

The current practice location address for Miu Ken Fong is 15200 Foothill Blvd, San Leandro, CA and can be reached out via phone at 510-352-9690.

Location: 15200 Foothill Blvd, San Leandro, CA, 94578-1013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437818028
Provider Name
Miu Ken Fong
Credential
Provider Entity Type
Individual
Gender
Female
Address
15200 Foothill Blvd, San Leandro, CA, 94578-1013
Phone Number
510-352-9690
Fax Number
Provider Enumeration Date
12/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15200 Foothill Blvd
City
San Leandro
State
California
Zip
94578-1013
Phone Number
510-352-9690
Fax Number
person
Provider Business Mailing Address Details
Address
15200 Foothill Blvd
City
San Leandro
State
California
Zip
94578-1013
Phone Number
510-352-9690
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
28430 (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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