| Prime Healthcare Services - Encino Llc | |
|
16237 Ventura Blvd Encino CA 91436-2201 | |
| (818) 995-5000 | |
| Not Available |
| Full Name | Prime Healthcare Services - Encino Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 16237 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Christopher Doan (MANAGING ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services - Encino Llc 16237 Ventura Blvd Encino CA 91436-2201 Ph: (818) 995-5000 | Prime Healthcare Services - Encino Llc 16237 Ventura Blvd Encino CA 91436-2201 Ph: (818) 995-5000 |
| NPI Number | 1629242201 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Medicare PECOS PAC ID | 3274603410 |
|---|---|
| Medicare Enrollment ID | O20080612000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629242201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 930000051 (California) | Primary |
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