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Organization
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER
Active
Organization
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER
Active
Other names
TRANSITIONS BASSETT
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RYDER (PRESIDENT)
(818) 901-4830
Entity
Organization
Contact information
Practice address
13143 BASSETT ST, NORTH HOLLYWOOD, CA 91605-4726
(818) 901-4830
(818) 785-3446
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
D0591483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000007415
MEDICAL PROVIDER
CA
Enumeration date
03/07/2007
Last updated
03/09/2020
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