NPI 1114287778

Brandman Centers for Senior Care, INC

Organisation PACE Provider Organization Reseda, CA

Practice location

Address: 7150 Tampa Ave, Reseda, CA 91335-3700
Phone: (818) 774-3274
Fax: (818) 774-3020

Authorised official

Name: Mary M Forrest
Title: Ceo President
Phone: (818) 774-3208

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 960000819 (CA)

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Registry record

NPI: 1114287778
Entity type: Organization
NPI issued: 16 May 2012
Record last updated: 16 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.