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  • 757369
CCN: 757369 NPI: 1366120354 Organization

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120 W AMERICAN CANYON RD STE M10
AMERICAN CANYON, CA 945031181

Contact Information

  • Phone 7075510960
  • Enumeration Date 2023-07-10
  • Last Updated 2023-07-10

Taxonomies

  • Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 9
cbsaActualGeographicLocation 34900
providerType 36
censusDivision 9
cbsaActualGeographicLocation 34900
providerType 36
censusDivision 9
cbsaActualGeographicLocation 34900
providerType 36
censusDivision 9
cbsaActualGeographicLocation 34900
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 34900
providerType 36
specialPaymentIndicator
carrierCode 01112
localityCode 51
cbsaActualGeographicLocation 34900
providerType 36
carrierCode 01112
localityCode 51
cbsaActualGeographicLocation 34900
providerType 36
specialPaymentIndicator
carrierCode 01112
localityCode 51

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