Gerald Kelton Backus
NPI #1114464732 in Canoga Park, California
Provider Information
- NPI Number
- 1114464732
- Entity Type
- Individual
- Name
- Gerald Kelton Backus
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 20, 2017
- Last Updated
- Jan 20, 2017
Practice Location
- Address
- 6800 OWENSMOUTH AVE
- City
- Canoga Park
- State
- California
- ZIP Code
- 91303-3159
- Phone
- (818) 610-6726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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