| San Fernando Valley Community Mental Health Center, Inc. | |
|
6501 Balboa Blvd Lake Balboa CA 91406-5526 | |
| (818) 901-4930 | |
| (818) 785-4118 |
| 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 Fl 2 Van Nuys CA 91406-1219 Ph: (818) 901-4930 | San Fernando Valley Community Mental Health Center, Inc. 6501 Balboa Blvd Lake Balboa CA 91406-5526 Ph: (818) 901-4930 |
| NPI Number | 1295608800 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 09/29/2025 |
| Certification Date | 09/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295608800 | NPI | - | NPPES |
| 000007320 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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