Individual provider · Type 1 NPI

Anna Ginna Lasala-Lopez

Licensed Psychiatric Technician · Orange, CA

NPI number 1356911549 Active

Practice location

265 S Anita Dr Ste 201
Orange, CA 92868-3346

Call (714) 410-3505 Map

Fax (714) 410-3529

Mailing address

25402 Pacifica Ave
Mission Viejo, CA 92691-3854

Other practice locations

  • 25402 Pacifica Ave, Mission Viejo, CA 92691-3854 · (949) 238-2400

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X27201 (CA)

Licensed Psychiatric Technician: 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 dis…

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About NPI 1356911549

Anna Ginna Lasala-Lopez's National Provider Identifier is 1356911549, issued on Jun 29, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Orange, CA. The record was last updated on Mar 13, 2024.