| Gary Ventimiglia Mfcc | |
|
17356 Sherman Way Van Nuys CA 91406-3502 | |
| (818) 497-8000 | |
| Not Available |
| Full Name | Gary Ventimiglia Mfcc |
|---|---|
| Speciality | Psychoanalyst |
| Location | 17356 Sherman Way, Van Nuys, California |
| Authorized Official Name and Position | Gary Ventimiglia (SUPERVISOR) |
| Authorized Official Contact | 8184978000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Ventimiglia Mfcc 17356 Sherman Way Van Nuys CA 91406-3502 Ph: (818) 497-8000 | Gary Ventimiglia Mfcc 17356 Sherman Way Van Nuys CA 91406-3502 Ph: (818) 497-8000 |
| NPI Number | 1538640818 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 08/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538640818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | MFT21132 (California) | Primary |
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