GRACE JUNKO GERARDO


Address: 226 S. Ave. 52, Los Angeles, CA 90042-4504
Phone: 2138842599

GRACE JUNKO GERARDO (NPI# 1255716098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255716098
Entity Type Individual
Full Name GRACE JUNKO GERARDO
Credential LPT
Practice Address 226 S. Ave. 52
Los Angeles
CA 90042-4504
Mailing Address 226 S Ave 52
Los Angeles
CA 90042-4504
Practice Telephone 2138842599
Mailing Telephone 2138842599
Enumeration Date 2015-07-22
Last Update Date 2015-07-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician Nursing Service Providers

Office Location

Street Address 226 S. AVE. 52
City LOS ANGELES
State CA
Zip Code 90042-4504

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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225635865 Thalia I. Rochel Licensed Psychiatric Technician 450 E Temple St, Los Angeles, CA 90012-4022 2020-10-06
1548776404 Destiny Ann Galvan Licensed Psychiatric Technician 679 New Hamshire Ave, Los Angeles, CA 90005 2017-12-14
1457786147 Griselda Flores Licensed Psychiatric Technician 2600 Wilshire Blvd, Los Angeles, CA 90057-3400 2013-09-12
1427104728 Leslie Michelle Blakeney Licensed Psychiatric Technician 529 S Maple Ave., Los Angeles, CA 90013 2007-01-27
1467064717 Jessica Vazquez Licensed Psychiatric Technician 679 S New Hampshire Ave Ste 400, Los Angeles, CA 90005-1355 2020-08-18
1558996512 Yvonne Elisa Molina Licensed Psychiatric Technician 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 2020-03-10
1407403439 Leanna Lynn Ramirez Licensed Psychiatric Technician 1711 W Temple St, Los Angeles, CA 90026-5421 2019-08-23
1992357404 Bernadette Chavez Licensed Psychiatric Technician 5201 S Vermont Ave, Los Angeles, CA 90037-3527 2019-07-15
1366000556 Tyler Shirk Licensed Psychiatric Technician 600 St Paul Ave Ste 200, Los Angeles, CA 90017-5686 2019-06-03
1063078202 Wendell Sacramento Licensed Psychiatric Technician 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 2019-05-14
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Competitor

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City LOS ANGELES
Zip Code 90042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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