Healthcare Provider Details

I. General information

NPI: 1962830539
Provider Name (Legal Business Name): MOTION PICTURE AND TELEVISION FUND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2013
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23388 MULHOLLAND DR
WOODLAND HILLS CA
91364-2733
US

IV. Provider business mailing address

23388 MULHOLLAND DR
WOODLAND HILLS CA
91364-2733
US

V. Phone/Fax

Practice location:
  • Phone: 818-876-1888
  • Fax: 818-876-1298
Mailing address:
  • Phone: 818-876-1888
  • Fax: 818-876-1298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number930000109
License Number StateCA

VIII. Authorized Official

Name: MR. ROBERT BEITCHER
Title or Position: CEO PRESIDENT
Credential:
Phone: 818-876-4155