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Organization
PRIME HEALTHCARE SERVICES-SHERMAN OAKS, LLC
Active
Organization
PRIME HEALTHCARE SERVICES-SHERMAN OAKS, LLC
Active
Parent organization
PRIME HEALTHCARE SERVICES-SHERMAN OAKS, LLC
Other names
Specialized Ambulatory Geriatric Evaluation
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE SERVICES-SHERMAN OAKS, LLC
Authorized official
MR. CHRISTOPHER DOAN ESQ. (CHIEF COMPLIANCE COUNSEL)
(909) 235-4307
Entity
Organization
Contact information
Practice address
4911 VAN NUYS BLVD, SUITE 307, SHERMAN OAKS, CA 91403-1716
(818) 341-7243
(818) 478-2925
Mailing address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 961-7111
(818) 907-2829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
930000149
CA
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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