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Organization

CANBY COMMUNITY CLINIC INC

Active
Other names
PURA VIDA COMMUNITY CLINIC, Pura Vida Community Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNY NVER AVETISYAN (CEO)
(818) 674-4414
Entity
Organization

Contact information

Practice address
7601 CANBY AVE, RESEDA, CA 91335-2953
(818) 383-9383
Mailing address
7601 CANBY AVE, UNIT 6B, RESEDA, CA 91335-2953
(818) 383-9383

Taxonomy

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

Other

Enumeration date
08/24/2022
Last updated
12/05/2025
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