Individual
MICHAEL NUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAARR CAS. 2010
Contact information
Practice address
18646 OXNARD STREET, TARZANA, CA 91356
(818) 654-3845
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 654-3845
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
01-098740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-098740
CAARR CAS.
CA
Enumeration date
12/28/2010
Last updated
07/14/2015
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