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Contact Information

MARK R BRUGUERA, PHD
751 S BASCOM AVE
MAIN JAIL-PSYCHOLOGY
SAN JOSE, CA95128-2604
 Phone: 408-808-5212
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARK R BRUGUERA · (Male)

NPI Number 1740253244
Status Active
Credentials PHD
Entity Individual
Enumeration date 02/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 9456
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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