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Gisela Bandera
Licensed Psychiatric Technician in San Diego, California
NPI 1588313951

Gisela Bandera is a Licensed Psychiatric Technician based in San Diego, CA. Gisela Bandera practices in San Diego, CA. The NPI Number for Gisela Bandera is 1588313951 and holds a License No. PT41609 (California).

The current practice location address for Gisela Bandera is 10717 Camino Ruiz Ste 207, San Diego, CA and can be reached out via phone at 858-695-2211.

Location: 10717 Camino Ruiz Ste 207, San Diego, CA, 92126-2364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588313951
Provider Name
Gisela Bandera
Credential
Provider Entity Type
Individual
Gender
Female
Address
10717 Camino Ruiz Ste 207, San Diego, CA, 92126-2364
Phone Number
858-695-2211
Fax Number
Provider Enumeration Date
03/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10717 Camino Ruiz Ste 207
City
San Diego
State
California
Zip
92126-2364
Phone Number
858-695-2211
Fax Number
person
Provider Business Mailing Address Details
Address
10717 Camino Ruiz Ste 207
City
San Diego
State
California
Zip
92126-2364
Phone Number
858-695-2211
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT41609 (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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