| Sfvcmhc Juv Just Bjn Sat | |
|
16350 Filbert St Sylmar CA 91342-1002 | |
| (818) 901-4879 | |
| (818) 997-1370 |
| Full Name | Sfvcmhc Juv Just Bjn Sat |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 16350 Filbert St, Sylmar, 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 Juv Just Bjn Sat 16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 Ph: (818) 901-4830 | Sfvcmhc Juv Just Bjn Sat 16350 Filbert St Sylmar CA 91342-1002 Ph: (818) 901-4879 |
| NPI Number | 1972768695 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972768695 | NPI | - | NPPES |
| 00007622 | Other | CA | MEDICAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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