Organization
AMEN CLINICS INC, LA
Active
Parent organization
AMEN CLINICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMEN CLINICS, INC
Authorized official
CHRISTINA T MCCORMICK MS (DATA SYSTEMS SPECIALIST)
(703) 880-4000
Entity
Organization
Contact information
Practice address
5363 BALBOA BLVD STE 100, ENCINO, CA 91316-2802
(818) 479-4400
(818) 305-3779
Mailing address
5363 BALBOA BLVD STE 100, ENCINO, CA 91316-2802
(818) 479-4400
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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