Organization
SUDA CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BUIK LMFT (PRESIDENT)
(323) 459-6264
Entity
Organization
Contact information
Practice address
15720 VENTURA BLVD, ENCINO, CA 91436-2914
(323) 459-6264
Mailing address
3115 SCOTLAND ST, LOS ANGELES, CA 90039-2505
(323) 953-9571
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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