San Fernando Mental Health Center | |
10605 Balboa Blvd Ste 100 Granada Hills CA 91344-6367 | |
(818) 832-2400 | |
(818) 832-2567 |
Full Name | San Fernando Mental Health Center |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 10605 Balboa Blvd Ste 100, Granada Hills, California |
Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
Authorized Official Contact | 2137384601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
San Fernando Mental Health Center 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | San Fernando Mental Health Center 10605 Balboa Blvd Ste 100 Granada Hills CA 91344-6367 Ph: (818) 832-2400 |
NPI Number | 1831122241 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 07/15/2022 |
Certification Date | 07/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831122241 | NPI | - | NPPES |
6840 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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