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Organization
AMEN CLINICS INC, LA
Active
Organization
AMEN CLINICS INC, LA
Active
Parent organization
AMEN CLINICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMEN CLINICS, INC
Authorized official
CHRISTINA T MCCORMICK MS (DATA SYSTEMS SPECIALIST)
(703) 880-4000
Entity
Organization
Contact information
Practice address
5363 BALBOA BLVD STE 100, ENCINO, CA 91316-2802
(818) 479-4400
(818) 305-3779
Mailing address
5363 BALBOA BLVD STE 100, ENCINO, CA 91316-2802
(818) 479-4400
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
—
NULL
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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