FUNCTIONAL RESTORATION NPI 1184810319

NPI Information

  • NPI: 1184810319
  • Provider Name: FUNCTIONAL RESTORATION
  • Classification: Psychiatry & Neurology - 2084P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 18065 VENTURA BLVD
    ENCINO, CA
    ZIP 91316
  • Phone: (818) 708-6163

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NPI Details

FUNCTIONAL RESTORATION is a pain medicine psychiatry neurology in Encino, CA. The provider is a neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. FUNCTIONAL RESTORATION NPI is 1184810319. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

18065 VENTURA BLVD
ENCINO, CA
ZIP 91316-517
Phone: (818) 708-6163
Fax: (818) 708-6167

The provider's authorized official is Moosa Heikali .
The authorized official title is President/medical Director and has the following contact phone number (818) 708-6163.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 10/4/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0015XPsychiatry & NeurologyPsychosomatic MedicineNo
22084P2900XPsychiatry & NeurologyPain MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W13197AMEDICARE PIN

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: 11/21/2025

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