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14500 Roscoe Blvd Ste 205 Panorama City CA 91402-4190 | |
| (818) 441-7127 | |
| (818) 361-5384 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14500 Roscoe Blvd Ste 205, Panorama City, California |
| Authorized Official Name and Position | Tania Del Gatto (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 8184378235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14500 Roscoe Blvd Ste 205 Panorama City CA 91402-4190 Ph: (818) 441-7127 | 14500 Roscoe Blvd Ste 205 Panorama City CA 91402-4190 Ph: (818) 441-7127 |
| NPI Number | 1538977426 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538977426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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