Sfvcmhc Independent Living Program | |
6501 Van Nuys Blvd Van Nuys CA 91401-1425 | |
(818) 374-5383 | |
(818) 374-5388 |
Full Name | Sfvcmhc Independent Living Program |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 6501 Van Nuys Blvd, Van Nuys, California |
Authorized Official Name and Position | Ian Hunter (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8189014830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sfvcmhc Independent Living Program 16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 Ph: (818) 901-4830 | Sfvcmhc Independent Living Program 6501 Van Nuys Blvd Van Nuys CA 91401-1425 Ph: (818) 374-5383 |
NPI Number | 1538299680 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 10/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538299680 | NPI | - | NPPES |
000007321 | Other | CA | MEDICAL PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | D0591483 (California) | Primary |
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