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6655 Balboa Blvd Van Nuys CA 91406-5529 | |
| (818) 758-2300 | |
| (818) 996-9850 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6655 Balboa Blvd, Van Nuys, California |
| Authorized Official Name and Position | Margarita Bobe (MANAGER) |
| Authorized Official Contact | 2132410558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
333 S. Beaudry Ave Smh, Floor 29 Los Angeles CA 90017-1466 Ph: (818) 997-2640 | 6655 Balboa Blvd Van Nuys CA 91406-5529 Ph: (818) 758-2300 |
| NPI Number | 1003115544 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003115544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (California) | Primary |
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