Healthcare Provider Details

I. General information

NPI: 1902272263
Provider Name (Legal Business Name): MOTION PICTURE AND TELEVISION FUND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2015
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
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:
Mailing address:
  • Phone: 818-876-1888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFF ARNETT
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 818-876-4168