Provider Demographics
NPI:1851414841
Name:ALABAMA HEALTH CENTER
Entity Type:Organization
Organization Name:ALABAMA HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSADCHAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-610-3050
Mailing Address - Street 1:15030 VENTURA BLVD
Mailing Address - Street 2:SUITE NUMBER 591
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-5470
Mailing Address - Country:US
Mailing Address - Phone:818-219-0409
Mailing Address - Fax:818-386-2806
Practice Address - Street 1:7209 ALABAMA AVE
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1519
Practice Address - Country:US
Practice Address - Phone:818-610-3050
Practice Address - Fax:818-386-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24694111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty