Organization
VIDA MOBILE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA RUIZ (PA-C)
(818) 425-9437
Entity
Organization
Contact information
Practice address
16750 INDEX ST, GRANADA HILLS, CA 91344-3606
(818) 425-9437
Mailing address
16750 INDEX ST, GRANADA HILLS, CA 91344-3606
(818) 425-9437
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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