| |
15350 Sherman Way Suite 200 Van Nuys CA 91406-4203 | |
(818) 267-1100 | |
(818) 267-1199 |
Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 15350 Sherman Way, Van Nuys, California |
Authorized Official Name and Position | Herbert K Hatanaka (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2135531800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
905 E 8th St Los Angeles CA 90021-1848 Ph: (213) 553-1800 | 15350 Sherman Way Suite 200 Van Nuys CA 91406-4203 Ph: (818) 267-1100 |
NPI Number | 1710018841 |
---|---|
Provider Enumeration Date | 03/08/2007 |
Last Update Date | 11/23/2021 |
Certification Date | 11/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710018841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Magnolia Clinical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5656 Cantaloupe Ave, Van Nuys, CA 91401 Phone: 818-489-0846 | |
Behavior Motivation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7602 N Patriot Way, Van Nuys, CA 91405 Phone: 818-987-1808 | |
Substance Abuse Specialist Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14515 Hamlin St, Van Nuys, CA 91411 Phone: 323-387-2405 Fax: 323-727-0284 |