Provider Demographics
NPI:1992024160
Name:FNA SPECIALISTS OF THE VALLEY
Entity type:Organization
Organization Name:FNA SPECIALISTS OF THE VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:FLORENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-718-9500
Mailing Address - Street 1:9301 OAKDALE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-6595
Mailing Address - Country:US
Mailing Address - Phone:818-718-9500
Mailing Address - Fax:818-718-9507
Practice Address - Street 1:5921 WILKINSON AVE
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-1135
Practice Address - Country:US
Practice Address - Phone:818-718-9500
Practice Address - Fax:818-718-9507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty