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12510 Van Nuys Blvd Ste. 201 Pacoima CA 91331-1338 | |
(818) 896-2255 | |
Not Available |
Full Name | |
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Speciality | Rehabilitation Practitioner |
Location | 12510 Van Nuys Blvd, Pacoima, California |
Authorized Official Name and Position | Debbie Manners (EXECUTIVE OF V.P. OF PROGRAMS) |
Authorized Official Contact | 6263957100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 W Walnut St Ste 375 Pasadena CA 91124-0001 Ph: () - | 12510 Van Nuys Blvd Ste. 201 Pacoima CA 91331-1338 Ph: (818) 896-2255 |
NPI Number | 1295866424 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 01/10/2024 |
Certification Date | 01/10/2024 |
Identifier | Type | State | Issuer |
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1295866424 | NPI | - | NPPES |
Hathaway-sycamores Child And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331 Phone: 818-660-7858 |