| Vida Mobile Clinic | |
|
16750 Index St Granada Hills CA 91344-3606 | |
| (818) 425-9437 | |
| Not Available |
| Full Name | Vida Mobile Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 16750 Index St, Granada Hills, California |
| Authorized Official Name and Position | Ana Ruiz (PA-C) |
| Authorized Official Contact | 8184259437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Mobile Clinic 16750 Index St Granada Hills CA 91344-3606 Ph: (818) 425-9437 | Vida Mobile Clinic 16750 Index St Granada Hills CA 91344-3606 Ph: (818) 425-9437 |
| NPI Number | 1447797865 |
|---|---|
| Provider Enumeration Date | 01/24/2017 |
| Last Update Date | 01/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447797865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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