Organization
MIRNA VILLATORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRNA G VILLATORO (DENTAL HUGIENIST)
(818) 388-7233
Entity
Organization
Contact information
Practice address
15700 MINNEHAHA ST, GRANADA HILLS, CA 91344
(818) 388-3917
Mailing address
11100 SEPULVEDA BLVD, #232, MISSION HILLS, CA 91345-1131
(818) 388-3917
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
HAP 351
CA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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