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Organization
MCRORY PEDIATRIC SERVICES, INC.
Active
Organization
MCRORY PEDIATRIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCRORY (CHIEF EXECUTIVE OFFICER)
(818) 501-8352
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD, SUITE 215, ENCINO, CA 91316-3858
(818) 530-5140
Mailing address
17609 VENTURA BLVD, SUITE 215, ENCINO, CA 91316-3858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7640
CA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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