| Pediatric Preferred Choice | |
|
4821 Lankershim Blvd Ste Fpmb1029 North Hollywood CA 91601-4538 | |
| (424) 303-1031 | |
| Not Available |
| Full Name | Pediatric Preferred Choice |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4821 Lankershim Blvd Ste Fpmb1029, North Hollywood, California |
| Authorized Official Name and Position | Thaddeus Terrell Welch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4243031031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Preferred Choice 4821 Lankershim Blvd Ste Fpmb1029 North Hollywood CA 91601-4538 Ph: (424) 303-1031 | Pediatric Preferred Choice 4821 Lankershim Blvd Ste Fpmb1029 North Hollywood CA 91601-4538 Ph: (424) 303-1031 |
| NPI Number | 1427773662 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427773662 | NPI | - | NPPES |
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