| Sfv East Valley Cmhc-mcdonald Carey | |
|
11631 Victory Blvd #203 North Hollywood CA 91606-3572 | |
| (818) 908-3855 | |
| (818) 753-5265 |
| Full Name | Sfv East Valley Cmhc-mcdonald Carey |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11631 Victory Blvd, North Hollywood, California |
| Authorized Official Name and Position | Timothy Ryder (PRESIDENT) |
| Authorized Official Contact | 8189014830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sfv East Valley Cmhc-mcdonald Carey 16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 Ph: (818) 901-4830 | Sfv East Valley Cmhc-mcdonald Carey 11631 Victory Blvd #203 North Hollywood CA 91606-3572 Ph: (818) 908-3855 |
| NPI Number | 1912037060 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912037060 | NPI | - | NPPES |
| 000007177 | Other | CA | MEDICAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0591483 (California) | Primary |
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