Provider Demographics
NPI:1487814307
Name:VINELAND HEALTH CENTER
Entity Type:Organization
Organization Name:VINELAND HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKARINAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-942-0123
Mailing Address - Street 1:6047 VINELAND AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4911
Mailing Address - Country:US
Mailing Address - Phone:818-942-0123
Mailing Address - Fax:818-942-0110
Practice Address - Street 1:6047 VINELAND AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4911
Practice Address - Country:US
Practice Address - Phone:818-942-0123
Practice Address - Fax:818-942-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service