LAVINDER BAGDWAL
NPI 1700638285
Licensed Psychiatric Technician in San Luis Obispo, CA

Active since April 05, 2024
2975 MCMILLAN AVE STE 164, SAN LUIS OBISPO, CA 93401(805) 439-4890 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lavinder Bagdwal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVINDER BAGDWAL (NPI 1700638285) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (34030) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1700638285
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameLAVINDER BAGDWAL
Location Address2975 MCMILLAN AVE STE 164San Luis Obispo, CA 93401-6768
Mailing Address2975 Mcmillan Ave Ste 164San Luis Obispo, CA 93401-6768 · (805) 439-4890
Sole ProprietorNo
Enumeration DateApril 5, 2024
NPPES CertifiedApril 5, 2024
NPI 1700638285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in CA · 34030
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.

2975 MCMILLAN AVE STE 164, San Luis Obispo, CA 93401

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
Peer Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
Social Worker (Clinical)
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
Technician, Health Information
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
Technician, Health Information
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700638285, enumerated as an "individual" on April 05, 2024.

The provider is located at 2975 MCMILLAN AVE STE 164 SAN LUIS OBISPO, CA 93401 and the phone number is (805) 439-4890.

Licensed Psychiatric Technician with taxonomy code 167G00000X.