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SPINE RESTORATION A MEDICAL CORPORATION NPI 1962926147


NPI Information

NPI: 1962926147
Provider Name: SPINE RESTORATION A MEDICAL CORPORATION
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
16030 VENTURA BLVD STE 400
ENCINO, CA
ZIP 91436
Phone: (818) 981-2288
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SPINE RESTORATION A MEDICAL CORPORATION is a medical specialty clinic center in Encino, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SPINE RESTORATION A MEDICAL CORPORATION NPI is 1962926147. The provider is registered as an organization entity type.

The provider's business location address is:

16030 VENTURA BLVD STE 400
ENCINO, CA
ZIP 91436-778
Phone: (818) 981-2288
Fax: (818) 981-2389

The provider's authorized official is Thomas J Hopkins .
The authorized official title is Ceo and has the following contact phone number (818) 981-2288.

The enumeration date for this NPI number is 7/31/2017 and was last updated on 7/21/2022.


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
1261QM2500XClinic/CenterMedical SpecialtyG71795CALIFORNIAYes

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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