SELF

NORTHRIDGE, CA
NPI1699019786
Entity TypeOrganization
Authorized ContactMARIA NIEVES ORNELAS
Lcsw
818-263-7904
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: CA  LCS 20834)
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
SELF
10136 AMIGO AVE
NORTHRIDGE, CA 91324-1301
Phone number: 818-263-7904
Mailing Address
SELF
10136 AMIGO AVE
NORTHRIDGE, CA 91324-1301
Phone number: