ProviderBusinessMailingAddressFaxNumber = '8182709590'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1154736684 | CLEMENT | CORY | | | 1172 N MACLAY AVE | SAN FERNANDO | CA | 913401328 |
| 1790961456 | GUSTAFSON | AUDRA | L | | 1172 N MACLAY AVE | SAN FERNANDO | CA | 913401328 |
| 1831547249 | LOPEZ | LETICIA | | | 1172 N MACLAY AVE | SAN FERNANDO | CA | 913401328 |
| 1245416908 | MOJICA-HOWARD | MARILEN | | | 1172 N MACLAY AVE | SAN FERNANDO | CA | 913401328 |
| 1912320433 | TIEDEMANN | CHELSEA | L. | | 1172 N MACLAY AVE | SAN FERNANDO | CA | 913401328 |
| 1326476326 | WHANG | LINDSEY | MORALES | | 1172 N MACLAY AVE | SAN FERNANDO | CA | 913401328 |
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