Kenneth John Peralta Sanga
NPI #1114399581 in Sylmar, California
Provider Information
- NPI Number
- 1114399581
- Entity Type
- Individual
- Name
- Kenneth John Peralta Sanga
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Oct 26, 2015
- Last Updated
- Oct 26, 2015
Practice Location
- Address
- 14659 OLIVE VIEW DR
- City
- Sylmar
- State
- California
- ZIP Code
- 91342-1652
- Phone
- (818) 485-0888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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