| Sfvcmhc Homebound | |
|
14624 Sherman Way Suite 404, 408, 502, 508 Van Nuys CA 91405-2241 | |
| (818) 908-4990 | |
| Not Available |
| Full Name | Sfvcmhc Homebound |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 14624 Sherman Way, Van Nuys, 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 |
|---|---|
| Sfvcmhc Homebound 16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 Ph: (818) 374-6901 | Sfvcmhc Homebound 14624 Sherman Way Suite 404, 408, 502, 508 Van Nuys CA 91405-2241 Ph: (818) 908-4990 |
| NPI Number | 1356471403 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356471403 | NPI | - | NPPES |
| 000007322 | Other | CA | MEDICAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0591483 (California) | Primary |
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