| |
18406 Roscoe Blvd Northridge CA 91325-4107 | |
(818) 885-5480 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 18406 Roscoe Blvd, Northridge, California |
Authorized Official Name and Position | Theresa M Hylen (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9168512559 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3400 Data Dr 1st Floor Rancho Cordova CA 95670-7956 Ph: (916) 379-2726 | 18406 Roscoe Blvd Northridge CA 91325-4107 Ph: (818) 885-5480 |
NPI Number | 1508222647 |
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Provider Enumeration Date | 01/05/2016 |
Last Update Date | 11/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508222647 | NPI | - | NPPES |
383981523 | Other | CA | IRS |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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