Las Virgenes Behavioral Health And Medical Clinic, Inc | |
30101 Agoura Ct Ste 100 Agoura Hills CA 91301-4301 | |
(818) 879-9018 | |
(818) 879-9013 |
Full Name | Las Virgenes Behavioral Health And Medical Clinic, Inc |
---|---|
Speciality | Psychiatry & Neurology - Addiction Medicine |
Location | 30101 Agoura Ct Ste 100, Agoura Hills, California |
Authorized Official Name and Position | Irina Chmeleva (BILLER) |
Authorized Official Contact | 8188799018 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Las Virgenes Behavioral Health And Medical Clinic, Inc 30101 Agoura Ct Ste 100 Agoura Hills CA 91301-4301 Ph: (818) 879-9018 | Las Virgenes Behavioral Health And Medical Clinic, Inc 30101 Agoura Ct Ste 100 Agoura Hills CA 91301-4301 Ph: (818) 879-9018 |
NPI Number | 1720283096 |
---|---|
Provider Enumeration Date | 06/18/2007 |
Last Update Date | 03/27/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720283096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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