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16600 Sherman Way Suite # 165 Van Nuys CA 91406-3875 | |
(818) 386-1182 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 16600 Sherman Way, Van Nuys, California |
Authorized Official Name and Position | Marvin Deryl Goldenberg (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8054527528 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16600 Sherman Way Suite # 165 Van Nuys CA 91406-3875 Ph: () - | 16600 Sherman Way Suite # 165 Van Nuys CA 91406-3875 Ph: (818) 386-1182 |
NPI Number | 1396008934 |
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Provider Enumeration Date | 06/19/2012 |
Last Update Date | 06/19/2012 |
Identifier | Type | State | Issuer |
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1396008934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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