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Organization
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Other names
SFVCMHC EVYFC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RYDER (PRESIDENT)
(818) 901-4830
Entity
Organization
Contact information
Practice address
6400 LAUREL CANYON BLVD, SUITE 500, NORTH HOLLYWOOD, CA 91606-1571
(818) 901-6376
(818) 904-9273
Mailing address
16360 ROSCOE BLVD, SUITE 200, VAN NUYS, CA 91406-1219
(818) 901-4830
(818) 785-3446
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000006853
MEDICAL PROVIDER
CA
Enumeration date
03/06/2007
Last updated
02/04/2020
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