1205081593 INDEPENDENCE COMMUNITY TREATMENT CLINIC

Community Health Clinic/Center

Active

Basic Information

Organization Name
INDEPENDENCE COMMUNITY TREATMENT CLINIC
Enumeration Date
December 1, 2008
Last Update
December 11, 2009
Authorized Official
ALEX BRANZBURG
PROGRAM DIRECTOR
Phone: (818) 776-1755

Practice Location

Address
39055 25TH ST W
ROOM426,427,428,429,430
PALMDALE, CA 935514164
Phone
(818) 776-1755
Fax
(818) 776-1657

Mailing Address

Address
19231 VICTORY BLVD
SUITE 554
RESEDA, CA 913356308
Phone
(818) 776-1755
Fax
(818) 776-1657

Specialties & Taxonomies

Specialty Code Classification License State Primary
Community Health Clinic/Center
Community Health
261QC1500X Clinic/Center 960001358 CA Primary

Other Identifiers

Identifier Type State Issuer
CMM70956F 05 CA N/A
196856000 05 CA N/A

Frequently Asked Questions

What is INDEPENDENCE COMMUNITY TREATMENT CLINIC's NPI number?
INDEPENDENCE COMMUNITY TREATMENT CLINIC's NPI number is 1205081593.
Which doctor has NPI number 1205081593?
The doctor with NPI number 1205081593 is INDEPENDENCE COMMUNITY TREATMENT CLINIC.
What is INDEPENDENCE COMMUNITY TREATMENT CLINIC's practice address?
INDEPENDENCE COMMUNITY TREATMENT CLINIC's practice address is 39055 25TH ST W, ROOM426,427,428,429,430, PALMDALE, CA, 935514164.
Which doctor practices at 39055 25TH ST W, ROOM426,427,428,429,430, PALMDALE, CA, 935514164?
INDEPENDENCE COMMUNITY TREATMENT CLINIC practices at 39055 25TH ST W, ROOM426,427,428,429,430, PALMDALE, CA, 935514164.
What is INDEPENDENCE COMMUNITY TREATMENT CLINIC's mailing address?
INDEPENDENCE COMMUNITY TREATMENT CLINIC's mailing address is 19231 VICTORY BLVD, SUITE 554, RESEDA, CA, 913356308.
What is INDEPENDENCE COMMUNITY TREATMENT CLINIC's phone number?
INDEPENDENCE COMMUNITY TREATMENT CLINIC's phone number is (818) 776-1755.
Who is (818) 776-1755?
(818) 776-1755 is the phone number for INDEPENDENCE COMMUNITY TREATMENT CLINIC.
What is INDEPENDENCE COMMUNITY TREATMENT CLINIC's specialty?
INDEPENDENCE COMMUNITY TREATMENT CLINIC's specialty is Community Health Clinic/Center.
What type of doctor is INDEPENDENCE COMMUNITY TREATMENT CLINIC?
INDEPENDENCE COMMUNITY TREATMENT CLINIC is a Community Health Clinic/Center.
Is INDEPENDENCE COMMUNITY TREATMENT CLINIC a Community Health?
Yes, INDEPENDENCE COMMUNITY TREATMENT CLINIC is a Community Health.
Is INDEPENDENCE COMMUNITY TREATMENT CLINIC still practicing?
Yes, INDEPENDENCE COMMUNITY TREATMENT CLINIC is currently practicing.
Is INDEPENDENCE COMMUNITY TREATMENT CLINIC accepting new patients?
INDEPENDENCE COMMUNITY TREATMENT CLINIC may be accepting new patients. Please call their office at (818) 776-1755 to inquire about availability.
Is NPI 1205081593 still active?
Yes, NPI 1205081593 is currently active.
Where does INDEPENDENCE COMMUNITY TREATMENT CLINIC practice?
INDEPENDENCE COMMUNITY TREATMENT CLINIC practices in PALMDALE, CA.