| Grant High | |
|
13000 Oxnard St Van Nuys CA 91401-4114 | |
| (818) 787-4151 | |
| Not Available |
| Full Name | Grant High |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13000 Oxnard St, Van Nuys, California |
| Authorized Official Name and Position | Elizabeth Macias (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8187874151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant High 15015 Oxnard St Van Nuys CA 91411-2613 Ph: (818) 787-4151 | Grant High 13000 Oxnard St Van Nuys CA 91401-4114 Ph: (818) 787-4151 |
| NPI Number | 1740546167 |
|---|---|
| Provider Enumeration Date | 04/10/2012 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740546167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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