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DR. OSCAR F. CERVANTES
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1629224878
Individual Registrant:DR. OSCAR F. CERVANTES
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
715 EL CAMINO REAL #209 SAN BRUNO, CA 94066-3426 US
Tel: 650-589-9442 Fax: 650-589-6943
Tel: 650-589-9442 Fax: 650-589-6943
Contact information for business:
715 EL CAMINO REAL #209 SAN BRUNO, CA 94066-3426 US
Tel: 650-589-9442 Fax: 650-589-6943
Tel: 650-589-9442 Fax: 650-589-6943
Registration Information:
NPI: 1629224878
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | CA | PSY11697 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
