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John Decena

NPI 1063237964 · on the registry since 2024 · sole proprietor

Practice

Address
15148 Lakeside St
Sylmar, CA 91342
Phone
(323) 770-4461

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California