| Amen Clinics Inc, La | |
|
5363 Balboa Blvd Ste 100 Encino CA 91316-2802 | |
| (818) 479-4400 | |
| (818) 305-3779 |
| Full Name | Amen Clinics Inc, La |
|---|---|
| Speciality | Psychiatry & Neurology - Diagnostic Neuroimaging |
| Location | 5363 Balboa Blvd Ste 100, Encino, California |
| Authorized Official Name and Position | Christina T Mccormick (DATA SYSTEMS SPECIALIST) |
| Authorized Official Contact | 7038804000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amen Clinics Inc, La 5363 Balboa Blvd Ste 100 Encino CA 91316-2802 Ph: (818) 479-4400 | Amen Clinics Inc, La 5363 Balboa Blvd Ste 100 Encino CA 91316-2802 Ph: (818) 479-4400 |
| NPI Number | 1871119982 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871119982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084D0003X | Psychiatry & Neurology - Diagnostic Neuroimaging | (* (Not Available)) | Primary |
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