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NPI 1629199716

NPI 1629199716 : JULIO CESAR ARMENTA PH.D. : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1629199716
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    Entity Type          |    Individual 
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    Provider Name        |    JULIO CESAR ARMENTA PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/03/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2901 MEADOW LARK DR 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92123-2711
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    Country              |    US
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    Telephone            |    619-694-4555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 143 
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    City                 |    BONITA
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    State                |    CA
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    Zip                  |    91908-0143
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    Country              |    US
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    Telephone            |    619-470-3388
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY 13633
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    103TF0200X
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    Taxonomy Name        |    Forensic Psychologist
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    License Number       |    PSY 13633
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    License Number State |    CA
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