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INDEPENDENCE COMMUNITY TREATMENT CLINIC
NPI 1376677823
Clinic/Center - Community Health in Reseda, CA

Active since March 15, 2007
19231 VICTORY BLVD, SUITE 554, RESEDA, CA 91335(818) 776-1755(818) 776-1657 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Independence Community Treatment Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE COMMUNITY TREATMENT CLINIC (NPI 1376677823) is a healthcare organization registered as a community health in Reseda, California and active in the NPI registry since March 2007. The organization lists Rebecca Greenough, Asst. Program Director, as its authorized official.

NPPES Registry Identity

NPI1376677823
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameINDEPENDENCE COMMUNITY TREATMENT CLINIC
Location Address19231 VICTORY BLVD, SUITE 554Reseda, CA 91335-6308
Mailing Address19231 Victory Blvd, Suite 554Reseda, CA 91335-6308 · (818) 776-1755 · Fax (818) 776-1657
Phone(818) 776-1755
Fax(818) 776-1657
Organization SubpartNo
Authorized OfficialRebecca GreenoughAsst. Program Director · (818) 776-1755
Enumeration DateMarch 15, 2007
Last NPPES UpdateJanuary 6, 2010
✔ NPI 1376677823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in CA · 960001358
19231 VICTORY BLVD, Reseda, CA 91335
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Other Identifiers 2

MedicaidCMM70956FCA
Medicaid196856000CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH IRVING BORDEN D.P.M.
Podiatrist
19231 VICTORY BLVD, #204
RESEDA, CA 91335
Los Angeles County (818) 342-6109
FROM THE HEART PHYSICAL THERAPY,INC.
Physical Therapist
19231 VICTORY BLVD, #550
RESEDA, CA 91335
Los Angeles County (818) 609-9035
MISS JESSICA AVILA
Rehabilitation Practitioner
19231 VICTORY BLVD
RESEDA, CA 91335
Los Angeles County (818) 708-4500
JOSEPH I BORDEN DPM INC
Podiatrist
19231 VICTORY BLVD, # 204
RESEDA, CA 91335
Los Angeles County (818) 342-6109
DR. BRUCE ALLEN WARDER D.C.
Chiropractor
19231 VICTORY BLVD, SUITE 556
RESEDA, CA 91335
Los Angeles County (818) 705-4964
DR. JAMES KODAMA DDS
Dentist (General Practice)
19231 VICTORY BLVD, STE. #253
RESEDA, CA 91335
Los Angeles County (818) 344-1393
BIOLOGICAL LABORATORY INC
Clinical Medical Laboratory
19231 VICTORY BLVD, SUITE 205
RESEDA, CA 91335
Los Angeles County (818) 708-7088
DR. JAMES MICHAEL YEE D.D.S.
Dentist (Pediatric Dentistry)
19231 VICTORY BLVD, SUITE 551
RESEDA, CA 91335
Los Angeles County (818) 345-4296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independence Community Treatment Clinic's NPI number?

The NPI number for Independence Community Treatment Clinic is 1376677823. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Independence Community Treatment Clinic located?

Independence Community Treatment Clinic is located at 19231 Victory Blvd Suite 554, Reseda, CA 91335. The listed phone number is (818) 776-1755.

What is Independence Community Treatment Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Independence Community Treatment Clinic was last updated on January 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.