Organization · Type 2 NPI

Independence Community Treatment Clinic

Community Health Clinic/Center · Palmdale, CA

NPI number 1881839926 Active

Practice location

2270 E Avenue Q, Room 101,102,103,104,105,106, And Cafeteria
Palmdale, CA 93550-4141

Call (818) 776-1755 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center Primary 261QC1500X960001658 (CA)

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

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About NPI 1881839926

Independence Community Treatment Clinic's National Provider Identifier is 1881839926, issued on Dec 3, 2008. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Palmdale, CA. The record was last updated on Dec 18, 2009.