| Kindaya Aba Llc | |
|
2023 8th St San Fernando CA 91340-1033 | |
| (805) 433-4556 | |
| Not Available |
| Full Name | Kindaya Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2023 8th St, San Fernando, California |
| Authorized Official Name and Position | Hogan Wagner (OWNER/PRESIDENT) |
| Authorized Official Contact | 8054334556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindaya Aba Llc 2023 8th St San Fernando CA 91340-1033 Ph: (805) 433-4556 | Kindaya Aba Llc 2023 8th St San Fernando CA 91340-1033 Ph: (805) 433-4556 |
| NPI Number | 1669310009 |
|---|---|
| Provider Enumeration Date | 03/24/2026 |
| Last Update Date | 03/24/2026 |
| Certification Date | 03/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669310009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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