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ENCINO NEUROLOGICAL MEDICAL GROUP NPI 1700884871


NPI Information

NPI: 1700884871
Provider Name: ENCINO NEUROLOGICAL MEDICAL GROUP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
16311 VENTURA BLVD
SUITE 680
ENCINO, CA
ZIP 91436
Phone: (818) 990-8561
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ENCINO NEUROLOGICAL MEDICAL GROUP is a specialist in Encino, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ENCINO NEUROLOGICAL MEDICAL GROUP NPI is 1700884871. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16311 VENTURA BLVD
SUITE 680
ENCINO, CA
ZIP 91436-124
Phone: (818) 990-8561
Fax: (818) 990-4432

The provider's authorized official is Robert Freundlich .
The authorized official title is Administrator and has the following contact phone number (818) 990-8561.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 12/9/2008.


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
1174400000XSpecialistG021066CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W3924MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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