Organization
PENNYLANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERLIN CONTRERAS (CASE MANAGER)
(818) 892-4323
Entity
Organization
Contact information
Practice address
10526 DUBNOFF WAY, NORTH HOLLYWOOD, CA 91606
(818) 755-4950
Mailing address
10526 DUBNOFF WAY, NORTH HOLLYWOOD, CA 91606-3921
(818) 755-4950
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
06/20/2018
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