| Health Care Dual Diagnosis | |
|
19300 Rinaldi St Northridge CA 91326-1651 | |
| (310) 628-9512 | |
| (818) 831-3416 |
| Full Name | Health Care Dual Diagnosis |
|---|---|
| Speciality | Clinic/center |
| Location | 19300 Rinaldi St, Northridge, California |
| Authorized Official Name and Position | Edna Elizabeth Miller (PRESIDENT) |
| Authorized Official Contact | 8188044043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care Dual Diagnosis 19300 Rinaldi Street Northridge CA 91327-9998 Ph: (818) 804-4043 | Health Care Dual Diagnosis 19300 Rinaldi St Northridge CA 91326-1651 Ph: (310) 628-9512 |
| NPI Number | 1093701534 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 01/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093701534 | NPI | - | NPPES |
| CMM71075F | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 55000015 (California) | Primary |
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