| Queer Healing Oasis | |
|
110 N Maclay Ave Ste 107 San Fernando CA 91340-2986 | |
| (818) 233-1079 | |
| (818) 698-6407 |
| Full Name | Queer Healing Oasis |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 N Maclay Ave Ste 107, San Fernando, California |
| Authorized Official Name and Position | Marcos Zamora-sanchez (CEO/FOUNDER) |
| Authorized Official Contact | 8182331079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queer Healing Oasis 110 N Maclay Ave Ste 107 San Fernando CA 91340-2986 Ph: (818) 233-1079 | Queer Healing Oasis 110 N Maclay Ave Ste 107 San Fernando CA 91340-2986 Ph: (818) 233-1079 |
| NPI Number | 1104476266 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 09/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104476266 | NPI | - | NPPES |
| 1831487834 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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