Transitions Bassett | |
13143 Bassett St North Hollywood CA 91605-4726 | |
(818) 901-4830 | |
(818) 785-3446 |
Full Name | Transitions Bassett |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 13143 Bassett St, North Hollywood, 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 |
---|---|
Transitions Bassett 16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 Ph: (818) 901-4830 | Transitions Bassett 13143 Bassett St North Hollywood CA 91605-4726 Ph: (818) 901-4830 |
NPI Number | 1750411609 |
---|---|
Provider Enumeration Date | 03/07/2007 |
Last Update Date | 03/09/2020 |
Certification Date | 03/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750411609 | NPI | - | NPPES |
000007415 | Other | CA | MEDICAL PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | D0591483 (California) | Primary |
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