| Christopher T Selvage, Md, Inc. | |
|
16946 Burbank Blvd 106 Encino CA 91316-1869 | |
| (818) 990-0179 | |
| (818) 990-0814 |
| Full Name | Christopher T Selvage, Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 16946 Burbank Blvd, Encino, California |
| Authorized Official Name and Position | Christopher T Selvage (OWNER) |
| Authorized Official Contact | 8187617498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher T Selvage, Md, Inc. 16946 Burbank Blvd 106 Encino CA 91316-1870 Ph: (818) 990-0179 | Christopher T Selvage, Md, Inc. 16946 Burbank Blvd 106 Encino CA 91316-1869 Ph: (818) 990-0179 |
| NPI Number | 1700901048 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700901048 | NPI | - | NPPES |
| 00A305870 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A30587 (California) | Primary |
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