| Ican-b | |
|
13891 Tucker Ave Sylmar CA 91342-1926 | |
| (213) 215-3628 | |
| (818) 273-1831 |
| Full Name | Ican-b |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13891 Tucker Ave, Sylmar, California |
| Authorized Official Name and Position | Jose Davila (PRESIDENT) |
| Authorized Official Contact | 2132153628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ican-b 13891 Tucker Ave Sylmar CA 91342-1926 Ph: (213) 215-3628 | Ican-b 13891 Tucker Ave Sylmar CA 91342-1926 Ph: (213) 215-3628 |
| NPI Number | 1669865648 |
|---|---|
| Provider Enumeration Date | 03/14/2015 |
| Last Update Date | 03/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669865648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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