Independence Community Treatment Clinic
Clinic/Center, Community Health in Lancaster, CA. Organization (NPI-2).
Details
- NPI
- 1508039728
- Entity type
- Organization (NPI-2)
- Legal business name
- Independence Community Treatment Clinic
- Organization subpart
- No
- Enumeration date
- Apr 9, 2008
- Last updated
- Jul 1, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QC1500X | Clinic/Center, Community Health | 960001358 | CA | Yes |
Practice location
209 W Avenue JRooms E,g, H, Front Office
Lancaster, CA 93534-3656
Phone 818-776-1755 · Fax 818-776-1657
Mailing address
19231 Victory BlvdSuite 554
Reseda, CA 91335-6308
Phone 818-776-1755 · Fax 818-776-1657
Authorized official
Alex Branzburg
Program Director
8187761755
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community Health Clinic/Center providers in Lancaster, CA
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All 10 Community Health Clinic/Center providers in Lancaster · All 5,365 providers in Lancaster
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