Organization Name: | EAST VALLEY PANORAMA INC |
NPI Number: | 1063670529 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OSCAR E CONTRERAS (PROGRAM DIRECTOR) |
Mailing Address: | 8608 Van Nuys Blvd Panorama City |
State: | CA US |
Postal Code: | 914022913 |
Phone Number: | 8188944910 |
Fax Number: | 8188944913 |
NPI Enumeration Date: | 05/30/2008 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |