| |
6931 Van Nuys Blvd Ste 102 Van Nuys CA 91405-3980 | |
(818) 376-0134 | |
(818) 376-1437 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 6931 Van Nuys Blvd Ste 102, Van Nuys, California |
Authorized Official Name and Position | Caroline Broomand (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8183760134 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6931 Van Nuys Blvd Ste 102 Van Nuys CA 91405-3980 Ph: (818) 376-0134 | 6931 Van Nuys Blvd Ste 102 Van Nuys CA 91405-3980 Ph: (818) 376-0134 |
NPI Number | 1831223908 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 11/15/2024 |
Certification Date | 11/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831223908 | NPI | - | NPPES |
7481 | Other | CA | LA COUNTY DMH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 01058206 (California) | Primary |
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