Independence Community Treatment Clinic

Organization Community Health Clinic/Center · NPI 1417192550

Independence Community Treatment Clinic is a Community Health Clinic/Center in Quartz Hill, California. Licensed in California. Registered with an NPI since 2008.

Licensed in: CA
In the registry since: 2008

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Practice location Address checks out

6040 W Avenue L ROOM423 V3 Agi
Quartz Hill, CA 93536-4501
Phone: (818) 776-1755
Fax: (818) 776-1657

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary)	Taxonomy 261QC1500X · Licence 960001358 (CA)

Record details

NPI number	1417192550
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Alex Branzburg — Program Director · (818) 776-1755
NPI enumerated	December 3, 2008
Last updated in NPPES	December 11, 2009
Mailing address	19231 Victory Blvd, Suite 554, Reseda, CA 91335-6308