LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC INC NPI 1720283096

NPI Information

LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC is an addiction medicine psychiatry neurology in Agoura Hills, CA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine LAS VIRGENES BEHAVIORAL HEALTH AND MEDICAL CLINIC, INC NPI is 1720283096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30101 AGOURA CT STE 100
AGOURA HILLS, CA
ZIP 91301-301
Phone: (818) 879-9018
Fax: (818) 879-9013

The provider's authorized official is Irina Chmeleva .
The authorized official title is Biller and has the following contact phone number (818) 879-9018.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 3/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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