| San Fernando Valley Community Mental Health Center, Inc | |
|
6501 Balboa Blvd Lake Balboa CA 91406-5526 | |
| (818) 901-4830 | |
| Not Available |
| Full Name | San Fernando Valley Community Mental Health Center, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6501 Balboa Blvd, Lake Balboa, California |
| Authorized Official Name and Position | Timothy Ryder (PRESIDENT) |
| Authorized Official Contact | 8189014830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Fernando Valley Community Mental Health Center, Inc 16360 Roscoe Blvd Ste 200 Van Nuys CA 91406-1213 Ph: (818) 901-4830 | San Fernando Valley Community Mental Health Center, Inc 6501 Balboa Blvd Lake Balboa CA 91406-5526 Ph: (818) 901-4830 |
| NPI Number | 1518764190 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518764190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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