MS. VICTORIA LYNN BROUSSARD


Address: 4600 Bresee Ave, Baldwin Park, CA 91706-2414
Phone: 6263370747

MS. VICTORIA LYNN BROUSSARD (NPI# 1770624090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770624090
Entity Type Individual
Full Name MS. VICTORIA LYNN BROUSSARD
Credential LPT
Practice Address 4600 Bresee Ave
Baldwin Park
CA 91706-2414
Practice Telephone 6263370747
Mailing Telephone 6263370747
Enumeration Date 2007-02-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 19904 CA Nursing Service Providers

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Office Location

Street Address 4600 BRESEE AVE
City BALDWIN PARK
State CA
Zip Code 91706-2414

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588206700 Sistine Manor Inc Assisted Living Facility 12755 Torch St, Baldwin Park, CA 91706 2019-10-09
1891268850 Rodriguez Cruz Dental, Inc. Clinic/Center 14323 Ramona Blvd., Baldwin Park, CA 91706 2019-01-02
1942788633 Desiree Montoya Counselor 13030 Ramona Blvd Unit 65, Baldwin Park, CA 91706 2018-08-03
1861978215 Cassidy Alyse Harton Counselor 4514 Grace Ave, Baldwin Park, CA 91706 2018-07-18
1881146751 Melissa Valenzuela Nurse Practitioner 14362 E. Ramona Blvd, Baldwin Park, CA 91706 2016-10-26
1629524228 Trosclair Seals Counselor 36 S Kinneola Ave, Pasad, CA 91706 2016-09-01
1487025854 Janeth Estevez Case Manager/Care Coordinator 14123 Masline St, Baldwin Park, CA 91706 2015-10-12
1932579570 Bls Dental Group Clinic/Center 14032 Ramona Blvd., Bladwin Park, CA 91706 2015-09-25
1487068748 Prakash P. Patel D.ds Inc Dentist 4138 N. Maine Ave, Suite N-3, Baldwin Park, CA 91706 2014-06-16
1295076891 Julia Lauria Rehabilitation Practitioner 11317 Rmaona Blvd., Ste.c, Irwindale, CA 91706 2013-03-06
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

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 disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871822254 Araceli Osorio Licensed Psychiatric Technician 13721 Foster Ave, Baldwin Park, CA 91706 2009-12-15
1376790444 Jacob Lee Taylor Licensed Psychiatric Technician 13716 Monterey Ave, Baldwin Park, CA 91706-4057 2008-08-20
1659406577 Annette Marie Perry Licensed Psychiatric Technician 3915 Center St, Apt C, Baldwin Park, CA 91706-2918 2007-02-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982203592 Leahann Vedella Licensed Psychiatric Technician 2398 Flatley Cir, Fairfield, CA 94533-8921 2020-10-23
1225635865 Thalia I. Rochel Licensed Psychiatric Technician 450 E Temple St, Los Angeles, CA 90012-4022 2020-10-06
1427665090 Egbert Tantiongco Licensed Psychiatric Technician 1460 E Willow St, Signal Hill, CA 90755-3549 2020-09-28
1114530250 Heather Elizabeth Phillips Licensed Psychiatric Technician 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 2020-08-28
1841801479 Mercedes Samantha Hamilton Licensed Psychiatric Technician 18465 Grand Ave, Lake Elsinore, CA 92530 2020-08-17
1609491935 Elisa Becerra Licensed Psychiatric Technician 745 Park St, Paso Robles, CA 93446-2834 2020-06-12
1518581099 Theresa Lynn Stewart Licensed Psychiatric Technician 1110 Newport Way, Roseville, CA 95661-5315 2020-06-01
1093337511 Christine Ann Scheuermann Licensed Psychiatric Technician 1447 Report Ave, Stockton, CA 95205-3030 2020-05-07
1477189512 Sandra J Foshee Licensed Psychiatric Technician 48918 Mojave Dr, Morongo Valley, CA 92256-9243 2020-03-20
1376177725 Chanel Christine Turpin Licensed Psychiatric Technician 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 2020-02-25
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Competitor

Search similar providers

City BALDWIN PARK
Zip Code 91706

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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