| Las Virgenes Behavioral Health And Medical Clinic, Inc | |
|
30101 Agoura Ct Ste 100 Agoura Hills CA 91301-4301 | |
| (818) 879-9018 | |
| (818) 879-9013 |
| Full Name | Las Virgenes Behavioral Health And Medical Clinic, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 30101 Agoura Ct Ste 100, Agoura Hills, California |
| Authorized Official Name and Position | Irina Chmeleva (BILLER) |
| Authorized Official Contact | 8188799018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Virgenes Behavioral Health And Medical Clinic, Inc 30101 Agoura Ct Ste 100 Agoura Hills CA 91301-4301 Ph: (818) 879-9018 | Las Virgenes Behavioral Health And Medical Clinic, Inc 30101 Agoura Ct Ste 100 Agoura Hills CA 91301-4301 Ph: (818) 879-9018 |
| NPI Number | 1720283096 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720283096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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