Porter Ranch Psychiatric Medical Corporation
NPI #1962683268 in Northridge, California
Provider Information
- NPI Number
- 1962683268
- Entity Type
- Organization
- Organization Name
- Porter Ranch Psychiatric Medical Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PORTER RANCH PSYCHIATRIC MEDICAL CORPORATION
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Nov 15, 2007
- Last Updated
- Jan 12, 2015
Practice Location
- Address
- 18250 ROSCOE BLVD STE 245
- City
- Northridge
- State
- California
- ZIP Code
- 91325-4248
- Phone
- (818) 527-1288
Authorized Official
- Name
- RAJ KAMAT
- Title
- BILLER
- Phone
- (818) 527-1288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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