Ponciano Wellness, LLC
NPI #1790077543 in Los Alamitos, California
Provider Information
- NPI Number
- 1790077543
- Entity Type
- Organization
- Organization Name
- Ponciano Wellness, LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 12, 2011
- Last Updated
- May 12, 2011
Practice Location
- Address
- 5212 KATELLA AVE
- Address 2
- SUITE 202
- City
- Los Alamitos
- State
- California
- ZIP Code
- 90720-2828
- Phone
- (888) 568-5640
Authorized Official
- Name
- DR. ROXANA LAMBDIN, PH.D.
- Title
- OPERATING MANAGER/ PROVIDER
- Phone
- (888) 568-5640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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