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Sho Kitada
Licensed Psychiatric Technician in Fontana, California
NPI 1871145797

Sho Kitada is a Licensed Psychiatric Technician based in Rowland Heights, CA. Sho Kitada practices in Fontana, CA. The NPI Number for Sho Kitada is 1871145797 and holds a License No. 41070 (California).

The current practice location address for Sho Kitada is 14677 Merrill Ave., Fontana, CA and can be reached out via phone at 951-643-2340.

Location: 14677 Merrill Ave., Fontana, CA, 91748-4030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871145797
Provider Name
Sho Kitada
Credential
Provider Entity Type
Individual
Gender
Male
Address
14677 Merrill Ave., Fontana, CA, 91748-4030
Phone Number
951-643-2340
Fax Number
Provider Enumeration Date
07/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14677 Merrill Ave.
City
Fontana
State
California
Zip
92335
Phone Number
951-643-2340
Fax Number
person
Provider Business Mailing Address Details
Address
14677 Merrill Ave.
City
Fontana
State
California
Zip
92335
Phone Number
951-643-2340
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
41070 (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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