Organization · Type 2 NPI

Independence Community Treatment Clinic

Community Health Clinic/Center · Lancaster, CA

NPI number 1508039728 Active

Practice location

209 W Avenue J, Rooms E,g, H, Front Office
Lancaster, CA 93534-3656

Call (818) 776-1755 Map

Fax (818) 776-1657

Mailing address

19231 Victory Blvd, Suite 554
Reseda, CA 91335-6308

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center Primary 261QC1500X960001358 (CA)

Community Health Clinic/Center: Definition to come...

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About NPI 1508039728

Independence Community Treatment Clinic's National Provider Identifier is 1508039728, issued on Apr 9, 2008. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Lancaster, CA. The record was last updated on Jul 1, 2010.