Healthcare Provider Details

I. General information

NPI: 1437462934
Provider Name (Legal Business Name): WYLAND & CAMP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2010
Last Update Date: 07/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16693 ROSCOE BLVD SUITE B
NORTH HILLS CA
91343-6121
US

IV. Provider business mailing address

16693 ROSCOE BLVD SUITE B
NORTH HILLS CA
91343-6121
US

V. Phone/Fax

Practice location:
  • Phone: 818-672-8020
  • Fax: 818-672-8021
Mailing address:
  • Phone: 818-672-8020
  • Fax: 818-672-8021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: KERSTIN MCFARLANE
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 818-672-8020