| Ndvets Sepulveda | |
|
16000 Lassen St North Hills CA 91343 | |
| (818) 920-3892 | |
| (818) 714-2161 |
| Full Name | Ndvets Sepulveda |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16000 Lassen St, North Hills, California |
| Authorized Official Name and Position | Gregory C. Scott (PRESIDENT & CEO) |
| Authorized Official Contact | 3109144045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ndvets Sepulveda Po Box 25536 11420 Santa Monica Boulevard Los Angeles CA 90025-0536 Ph: (310) 914-4045 | Ndvets Sepulveda 16000 Lassen St North Hills CA 91343 Ph: (818) 920-3892 |
| NPI Number | 1245659929 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 12/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245659929 | NPI | - | NPPES |
| 1245659929 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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