Individual provider · Type 1 NPI

Joe Castillo Diaz Iii, LPT

Licensed Psychiatric Technician · Los Angeles, CA

NPI number 1750823910 Active

Practice location

3881 S Western Ave
Los Angeles, CA 90062-1105

Call (323) 290-4349 Map

Fax (323) 293-8159

Mailing address

1667 Vejar St
Pomona, CA 91766-2530

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT37201 (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 1750823910

Joe Castillo Diaz Iii, LPT's National Provider Identifier is 1750823910, issued on Nov 4, 2016. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 6, 2016.