Organization
GREEN PATH PSYCHIATRIC NURSING PRACTITIONER SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELHAM HAMZEH (OWNER)
(925) 890-3621
Entity
Organization
Contact information
Practice address
19634 VENTURA BLVD STE 118, TARZANA, CA 91356-2966
(925) 890-3621
Mailing address
6928 OWENSMOUTH AVE # 105, CANOGA PARK, CA 91303-2095
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
05/16/2024
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