| Licasa Inc | |
|
7041 Reseda Blvd Reseda CA 91335-4209 | |
| (818) 210-6612 | |
| Not Available |
| Full Name | Licasa Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7041 Reseda Blvd, Reseda, California |
| Authorized Official Name and Position | Lilit Muradyan (CEO) |
| Authorized Official Contact | 8182106612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licasa Inc 7041 Reseda Blvd Reseda CA 91335-4209 Ph: (818) 210-6612 | Licasa Inc 7041 Reseda Blvd Reseda CA 91335-4209 Ph: (818) 210-6612 |
| NPI Number | 1871198556 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871198556 | NPI | - | NPPES |
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