Most Relevant Information
Provider Data
NPI Number: | 1003526047 |
Provider Name: | LOUIE ORIEL MISAGAL |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 11/30/2022 |
Last Updated: | 11/30/2022 |
Provider Practice Location
3767 CENTRAL AVE
SAN DIEGO
CA
921052599
Practice Location Phone/Fax
Phone: | 6195844010 |
Fax: | 6192780770 |
Provider Mailing Location
3767 CENTRAL AVE
SAN DIEGO
CA
921052599
Provider Mailing Phone/Fax
Phone: | 6199850028 |
Fax: | 6192780770 |