Individual
ANDREAS EUGENE BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11600 ELDRIDGE AVE, SYLMAR, CA 91342-6506
(818) 686-3000
Mailing address
13942 OXNARD ST, VALLEY GLEN, CA 91401-3842
(818) 686-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
06/11/2019
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