COUNTY OF LOS ANGELES

NPI # 

Practice Address:

7555 Van Nuys Blvd Rm 1071

Van Nuys, CA, 91405-1949

Practice Phone:

818-947-4050

License Number:

PHE 44731

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Community Health

Taxonomy Code:

261QC1500X