| Sfvcmhc Tbs | |
|
6400 Laurel Canyon Bl #500 North Hollyood CA 91606-1571 | |
| (818) 901-6376 | |
| Not Available |
| Full Name | Sfvcmhc Tbs |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6400 Laurel Canyon Bl #500, North Hollyood, 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 Tbs 16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 Ph: (818) 901-4830 | Sfvcmhc Tbs 6400 Laurel Canyon Bl #500 North Hollyood CA 91606-1571 Ph: (818) 901-6376 |
| NPI Number | 1396876454 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396876454 | NPI | - | NPPES |
| 000007597 | Other | CA | MEDICAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0591483 (California) | Primary |