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Organization

VALLEYHOPEOUTPATIENT

Active
Parent organization
VALLEYHOPEOUTPATIENT
Organization subpart
Yes

Provider details

NPI number
Legal business name
VALLEYHOPEOUTPATIENT
Authorized official
FERNANDO RODRIGUEZ (PROGRAM DIRECTOR)
(818) 902-1100
Entity
Organization

Contact information

Practice address
14416 FRIAR ST STE C, VAN NUYS, CA 91401-6800
(818) 902-1100
(818) 902-1300
Mailing address
14416 FRIAR ST SUITE C, VAN NUYS, CA 91401
(818) 902-1100
(818) 902-1300

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
190803AP
CA

Other

Enumeration date
07/15/2014
Last updated
07/17/2014
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