Vidian Anastasya Pangalila
NPI #1033092564 in Colton, California
Provider Information
- NPI Number
- 1033092564
- Entity Type
- Individual
- Name
- Vidian Anastasya Pangalila
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Jul 30, 2025
- Last Updated
- Jul 30, 2025
Practice Location
- Address
- 400 N PEPPER AVE
- City
- Colton
- State
- California
- ZIP Code
- 92324-1819
- Phone
- (909) 580-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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