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Organization

BLUEBERRY MEDICAL

Active
Other names
Sleepytime
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARJORIE YONG MD (FOUNDER)
(310) 989-1892
Entity
Organization

Contact information

Practice address
5400 BALBOA BLVD, ENCINO, CA 91316-1502
(818) 789-0203
Mailing address
16628 OAK VIEW CT, ENCINO, CA 91436-1900
(310) 989-1892

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
02/02/2012
Last updated
02/02/2012
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