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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
SFV East Valley CMHC-McDonald Carey
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RYDER (PRESIDENT)
(818) 901-4830
Entity
Organization
Contact information
Practice address
11631 VICTORY BLVD, #203, NORTH HOLLYWOOD, CA 91606-3572
(818) 908-3855
(818) 753-5265
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
—
000007177
MEDICAL PROVIDER
CA
Enumeration date
03/07/2007
Last updated
04/07/2021
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