| Deanco Healthcare Llc | |
|
14850 Roscoe Blvd Panorama City CA 91402-4677 | |
| (818) 787-2222 | |
| Not Available |
| Full Name | Deanco Healthcare Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 14850 Roscoe Blvd, Panorama City, California |
| Authorized Official Name and Position | Christopher Doan (LEGAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deanco Healthcare Llc 14850 Roscoe Blvd Panorama City CA 91402-4677 Ph: (818) 787-2222 | Deanco Healthcare Llc 14850 Roscoe Blvd Panorama City CA 91402-4677 Ph: (818) 787-2222 |
| NPI Number | 1174129050 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174129050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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