Licasa Inc | |
7041 Reseda Blvd Reseda CA 91335-4209 | |
(818) 210-6612 | |
Not Available |
Full Name | Licasa Inc |
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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 |
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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 |
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Provider Enumeration Date | 12/01/2020 |
Last Update Date | 12/01/2020 |
Certification Date | 12/01/2020 |
Identifier | Type | State | Issuer |
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1871198556 | NPI | - | NPPES |
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