Organization
PEDIATRIC AND FAMILY MEDICAL CENTER
Active
Parent organization
PEDIATRIC AND FAMILY MEDICAL CENTER
Other names
Eisner Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC AND FAMILY MEDICAL CENTER
Authorized official
MONICA MCCARTHY (SR VP, COO & INTERIM-CEO)
(213) 747-5542
Entity
Organization
Contact information
Practice address
15477 VENTURA BLVD UNIT LOWER, SHERMAN OAKS, CA 91403-3006
(818) 907-0322
Mailing address
15477 VENTURA BLVD UNIT LOWER, SHERMAN OAKS, CA 91403-3006
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
04/18/2024
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