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10526 Dubnoff Way North Hollywood CA 91606-3921 | |
| (818) 755-4950 | |
| (818) 752-0783 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10526 Dubnoff Way, North Hollywood, California |
| Authorized Official Name and Position | Rosana La Fianza (DIRECTOR OF CLINIC OPERATIONS) |
| Authorized Official Contact | 8188923423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15305 Rayen St North Hills CA 91343-5117 Ph: (818) 892-3423 | 10526 Dubnoff Way North Hollywood CA 91606-3921 Ph: (818) 755-4950 |
| NPI Number | 1447597489 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 11/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447597489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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