| Broome Family Foundation | |
|
20300 Ventura Blvd Ste 330 Woodland Hills CA 91364-0904 | |
| (323) 824-5424 | |
| Not Available |
| Full Name | Broome Family Foundation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20300 Ventura Blvd Ste 330, Woodland Hills, California |
| Authorized Official Name and Position | Lauren Ludlow (BOARD MEMBER) |
| Authorized Official Contact | 3235248424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broome Family Foundation 4859 W Slauson Ave # 515 Los Angeles CA 90056-1290 Ph: (323) 524-8424 | Broome Family Foundation 20300 Ventura Blvd Ste 330 Woodland Hills CA 91364-0904 Ph: (323) 824-5424 |
| NPI Number | 1467068668 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467068668 | NPI | - | NPPES |
| UNKNOWN | Other | UNKNOWN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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