| Aegis Medical Systems, Inc | |
|
7256 Remmet Ave Canoga Park CA 91303 | |
| (818) 206-0360 | |
| (818) 206-0370 |
| Full Name | Aegis Medical Systems, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7256 Remmet Ave, Canoga Park, California |
| Authorized Official Name and Position | Cindy Joo Young Lee (COUNSELOR) |
| Authorized Official Contact | 5629461587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Medical Systems, Inc 14240 Imperial Hwy La Mirada CA 90638-1940 Ph: (562) 946-1587 | Aegis Medical Systems, Inc 7256 Remmet Ave Canoga Park CA 91303 Ph: (818) 206-0360 |
| NPI Number | 1801142963 |
|---|---|
| Provider Enumeration Date | 07/26/2012 |
| Last Update Date | 07/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801142963 | NPI | - | NPPES |
| 19-053 | Other | CA | NTP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19-053 (California) | Primary |
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