Organization
JHA GERIATRIC SERVICES, INC
Active
Other names
Eisenberg Village Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY AUTOLINO (DIRECTOR OF AR)
(818) 757-4447
Entity
Organization
Contact information
Practice address
18855 VICTORY BLVD, RESEDA, CA 91335
(818) 774-3354
(818) 757-4401
Mailing address
7150 TAMPA AVE, ATTN. FISCAL DEPT., RESEDA, CA 91335-3700
(818) 774-3000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
960000928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70641F
—
CA
Enumeration date
11/22/2006
Last updated
07/02/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us