Organization
LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA CHMELEVA (BILLER)
(818) 879-9018
Entity
Organization
Contact information
Practice address
30101 AGOURA CT STE 100, AGOURA HILLS, CA 91301-4301
(818) 879-9018
(818) 879-9013
Mailing address
30101 AGOURA CT STE 100, AGOURA HILLS, CA 91301-4301
(818) 879-9018
(818) 879-9013
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
03/27/2018
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