NINA GABRIELE SITOMPUL
NPI 1861752677
Licensed Psychiatric Technician in Los Angeles, CA
- Individual
- Female
- Licensed Psychiatric Technician
About NINA SITOMPUL
This page provides the complete NPI Profile along with additional information for Nina Sitompul, a provider established in Los Angeles, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1861752677 assigned on May 2012. The practitioner's primary taxonomy code is 167G00000X with license number PT33479 (CA). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1861752677 Verify this NPI
- Provider Name
- NINA GABRIELE SITOMPUL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2500 WILSHIRE BLVD LOS ANGELES, CA 90057
- Location Phone
- (213) 639-2660
- Mailing Address
- 10593 HORSESHOE DR BLOOMINGTON, CA 92316
- Mailing Phone
- (909) 714-0046
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-25-2012
- Last Update Date
- 05-25-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Psychiatric Technician
- Taxonomy Code
- 167G00000X
- Type
- Nursing Service Providers
- License No.
- PT33479
- License State
- CA
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861752677, enumerated as an "individual" on May 25, 2012.
The provider is located at 2500 WILSHIRE BLVD LOS ANGELES, CA 90057 and the phone number is (213) 639-2660.
Licensed Psychiatric Technician with taxonomy code 167G00000X.
