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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
INDEPENDENCE CONTINUATION HIGH SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RYDER PRESIDENT (PRESIDENT)
(818) 901-4830
Entity
Organization
Contact information
Practice address
6501 BALBOA BLVD, LAKE BALBOA, CA 91406-5526
(818) 901-4930
(818) 785-4118
Mailing address
16360 ROSCOE BLVD FL 2, VAN NUYS, CA 91406-1219
(818) 901-4930
(818) 785-4118
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000007320
—
CA
Enumeration date
09/29/2025
Last updated
09/29/2025
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