Everest Medical Center, INC.
Clinic/Center in Encino, CA. Organization (NPI-2).
NPI number1326401985
StatusActive
Last updated in NPPESApr 10, 2016
Details
- NPI
- 1326401985
- Entity type
- Organization (NPI-2)
- Legal business name
- Everest Medical Center, INC.
- Organization subpart
- No
- Enumeration date
- Mar 31, 2016
- Last updated
- Apr 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | G42307 | CA | Yes |
Practice location
5400 Balboa Blvd Ste 331Encino, CA 91316-5225
Phone 818-849-6777 · Fax 818-858-1138
Mailing address
5400 Balboa Blvd Ste 331Encino, CA 91316-5225
Phone 818-849-6777 · Fax 818-858-1138
Authorized official
Alex Edwin Everest
Chief Financial Officer
8188496777
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