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Organization

NORTHRIDGE FAMILY PRACTICE

Active
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Organization

NORTHRIDGE FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETTY M OLIVIER (OFFICE MANAGER)
(818) 993-4054
Entity
Organization

Contact information

Practice address
18406 ROSCOE BLVD, NORTHRIDGE, CA 91325-4107
(818) 993-4054
Mailing address
18406 ROSCOE BLVD, NORTHRIDGE, CA 91325-4107
(818) 993-4054

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—

Other

Enumeration date
04/19/2013
Last updated
04/19/2013
About Stedi
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  • EDI platform