| |
5805 Sepulveda Blvd Ste 710 Van Nuys CA 91411-2522 | |
(818) 980-3200 | |
(818) 980-3203 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 5805 Sepulveda Blvd Ste 710, Van Nuys, California |
Authorized Official Name and Position | Carolyn Labbe (VP OF PROGRAMS & SERVICES) |
Authorized Official Contact | 3238760550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3580 Wilshire Blvd Ste 800 Los Angeles CA 90010-2501 Ph: (323) 876-0550 | 5805 Sepulveda Blvd Ste 710 Van Nuys CA 91411-2522 Ph: (818) 980-3200 |
NPI Number | 1073643292 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 09/06/2023 |
Certification Date | 09/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073643292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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