Individual provider · Type 1 NPI

Nina Gabriele Sitompul

Licensed Psychiatric Technician · Los Angeles, CA

NPI number 1861752677 Active

Practice location

2500 Wilshire Blvd
Los Angeles, CA 90057-4303

Call (213) 639-2660 Map

Mailing address

10593 Horseshoe Dr
Bloomington, CA 92316-2767

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT33479 (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 1861752677

Nina Gabriele Sitompul's National Provider Identifier is 1861752677, issued on May 25, 2012. 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 May 25, 2012.