Christopher T Selvage, MD, INC.
Psychiatry & Neurology, Psychiatry in Encino, CA. Organization (NPI-2).
NPI number1700901048
StatusActive
Last updated in NPPESJul 31, 2008
Details
- NPI
- 1700901048
- Entity type
- Organization (NPI-2)
- Legal business name
- Christopher T Selvage, MD, INC.
- Organization subpart
- No
- Enumeration date
- Mar 19, 2007
- Last updated
- Jul 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A30587 | CA | Yes |
Practice location
16946 Burbank Blvd106
Encino, CA 91316-1869
Phone 818-990-0179 · Fax 818-990-0814
Mailing address
16946 Burbank Blvd106
Encino, CA 91316-1870
Phone 818-990-0179 · Fax 818-990-0814
Authorized official
Christopher T Selvage
Owner
8187617498
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