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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
San Fernando Valley CMHC - AB34
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RYDER (PRESIDENT)
(818) 901-4830
Entity
Organization
Contact information
Practice address
16650 SHERMAN WAY, VAN NUYS, CA 91406-3782
(818) 901-4830
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
—
000007358
MEDICAL PROVIDER
CA
Enumeration date
03/07/2007
Last updated
04/06/2022
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