Vidian Anastasya Pangalila
Vidian Anastasya Pangalila is a Licensed Psychiatric Technician in Colton, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
400 N Pepper AveColton, CA 92324-1819
Phone: (909) 580-1800
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 42954 (CA) |
|---|
Record details
| NPI number | 1033092564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | July 30, 2025 |
| Last updated in NPPES | July 30, 2025 |
| Certification date | July 30, 2025 |
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