Organization
MCRORY PEDIATRICS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI MCRORY (EXCUTIVE DIRECTOR)
(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
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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