| Cross Cultural Expressions | |
|
17530 Ventura Blvd # 203 Encino CA 91316-3818 | |
| (818) 860-1223 | |
| Not Available |
| Full Name | Cross Cultural Expressions |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 17530 Ventura Blvd # 203, Encino, California |
| Authorized Official Name and Position | Mastaneh Golian Moghadam (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8189331148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Cultural Expressions 17514 Ventura Blvd #101 Encino CA 91316-3852 Ph: (818) 860-1223 | Cross Cultural Expressions 17530 Ventura Blvd # 203 Encino CA 91316-3818 Ph: (818) 860-1223 |
| NPI Number | 1497203939 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 01/04/2017 |
| Medicare PECOS PAC ID | 1153672019 |
|---|---|
| Medicare Enrollment ID | O20211029001093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497203939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS 23095 (California) | Primary |
| Provider Name | Robert Eugene Leeburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124480645 PECOS PAC ID: 4880082577 Enrollment ID: I20211029001175 |
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