| Tarzana Treatment Centers Family Medical Granada Hills Clini | |
|
10605 Balboa Blvd Granada Hills CA 91344-6342 | |
| (818) 654-3815 | |
| Not Available |
| Full Name | Tarzana Treatment Centers Family Medical Granada Hills Clini |
|---|---|
| Speciality | Clinic/center |
| Location | 10605 Balboa Blvd, Granada Hills, California |
| Authorized Official Name and Position | Albert Senella (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8186543815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Treatment Centers Family Medical Granada Hills Clini 18646 Oxnard St Tarzana CA 91356-1411 Ph: (818) 996-1051 | Tarzana Treatment Centers Family Medical Granada Hills Clini 10605 Balboa Blvd Granada Hills CA 91344-6342 Ph: (818) 654-3815 |
| NPI Number | 1003219775 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 05/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003219775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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