San Fernando Valley Juvenile Hall | |
16350 Filbert St Sylmar CA 91342-1002 | |
(818) 364-2078 | |
Not Available |
Full Name | San Fernando Valley Juvenile Hall |
---|---|
Speciality | Clinic/center |
Location | 16350 Filbert St, Sylmar, California |
Authorized Official Name and Position | Mark Corbet (INTERIM CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3232262400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
San Fernando Valley Juvenile Hall 16350 Filbert St Sylmar CA 91342-1002 Ph: (818) 364-2078 | San Fernando Valley Juvenile Hall 16350 Filbert St Sylmar CA 91342-1002 Ph: (818) 364-2078 |
NPI Number | 1285744003 |
---|---|
Provider Enumeration Date | 08/30/2006 |
Last Update Date | 03/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285744003 | NPI | - | NPPES |
FHCOOO03F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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