Organization
CANBY COMMUNITY CLINIC INC
Active
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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