| Sfvcmhcwraparound | |
|
14545 Sherman Cir Van Nuys CA 91405-3087 | |
| (818) 901-4830 | |
| (818) 785-3446 |
| Full Name | Sfvcmhcwraparound |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 14545 Sherman Cir, 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 |
|---|---|
| Sfvcmhcwraparound 16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 Ph: (818) 901-4830 | Sfvcmhcwraparound 14545 Sherman Cir Van Nuys CA 91405-3087 Ph: (818) 901-4830 |
| NPI Number | 1043341217 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043341217 | NPI | - | NPPES |
| 000007451 | Other | CA | MEDICAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0591483 (California) | Primary |
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