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Ambulatory Health Care Facilities Clinic/Center

Provider NPI: 1356520779

Organization Information:
Organization is not Subpart
Authorized Official:  PAUL  BURTON  DIRECTOR, COMMUNITY CARE  818-895-9596

Practice Location:
Tel: 319-490-9556  Fax: --

Business Mailing Address:
16111 PLUMMER ST  SEPULVEDA, CA 91343-2036 US
Tel: 818-895-9596  Fax: --

NPI Information:
NPI: 1356520779
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N261Q00000XAmbulatory Health Care Facilities
N261QF0400XAmbulatory Health Care Facilities
Military Hospital

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2865X1600X





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