Organization · Type 2 NPI
Las Virgenes Behavioral Health and Medical Clinic, Inc
Addiction Medicine (Psychiatry & Neurology) Physician · Agoura Hills, CA
Practice location
30101 Agoura Ct Ste 100
Agoura Hills, CA 91301-4301
Fax (818) 879-9013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
3 other providers at this address
About NPI 1720283096
Las Virgenes Behavioral Health and Medical Clinic, Inc's National Provider Identifier is 1720283096, issued on Jun 18, 2007. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Agoura Hills, CA. The record was last updated on Mar 27, 2018.