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RESTORE MEDICAL NPI 1619327640


NPI Information

NPI: 1619327640
Provider Name: RESTORE MEDICAL
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
16530 VENTURA BLVD
SUITE 200
ENCINO, CA
ZIP 91436
Phone: (954) 641-5366
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RESTORE MEDICAL is an addiction medicine internal medicine in Encino, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. RESTORE MEDICAL NPI is 1619327640. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16530 VENTURA BLVD
SUITE 200
ENCINO, CA
ZIP 91436-554
Phone: (954) 641-5366

The provider's authorized official is Eric Leon .
The authorized official title is Coo and has the following contact phone number (954) 641-5366.

The enumeration date for this NPI number is 6/21/2016 and was last updated on 6/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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