Four Seasons Medical Clinic Of Encino | |
16661 Ventura Blvd Suite 405 Encino CA 91436-1914 | |
(818) 907-1213 | |
(818) 907-1210 |
Full Name | Four Seasons Medical Clinic Of Encino |
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Speciality | Clinic/center - Multi-specialty |
Location | 16661 Ventura Blvd, Encino, California |
Authorized Official Name and Position | Chante Aguilera (PRESIDENT) |
Authorized Official Contact | 8189071213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Four Seasons Medical Clinic Of Encino 16661 Ventura Blvd Suite 405 Encino CA 91436-1914 Ph: (818) 907-1213 | Four Seasons Medical Clinic Of Encino 16661 Ventura Blvd Suite 405 Encino CA 91436-1914 Ph: (818) 907-1213 |
NPI Number | 1295937969 |
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Provider Enumeration Date | 06/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295937969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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