Organization
MCRORY PEDIATRIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCRORY (CEO)
(818) 501-8352
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD STE 215, ENCINO, CA 91316-5126
(818) 501-8352
Mailing address
17609 VENTURA BLVD STE 215, ENCINO, CA 91316-5126
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
11579
CA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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