Encino Place Pain & Surgery Center Llc

NPI 1063715548 - Clinic/Center - 261QA1903X

NPI Details
NPI 1063715548
Enumeration Date 12/06/2010
Last Updated 12/06/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SHUBHA SHUBHA
Position PRESIDENT/MANAGER
Phone (818) 802-3514
Fax (818) 582-3594
Practice Location
16101 VENTURA BLVD STE 240
ENCINO CA, 91436-2513, US
Phone (818) 802-3514
Fax (818) 582-3594
Business Location
16101 VENTURA BLVD STE 240
ENCINO CA, 91436-2513, US
Phone (818) 802-3514
Fax (818) 582-3594
Toxanomy
Taxonomy Code 261QA1903X
License State California
License Number 573912066
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According to our database, Encino Place Pain & Surgery Center Llc NPI is 1063715548, taxonomy code is 261QA1903X and license number is 573912066, license state is located at California. Encino Place Pain & Surgery Center Llc physically located at 16101 Ventura Blvd Ste 240, Encino CA, 91436-2513. NPI Number 1033115704 has the healthcare provider type.

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1063715548 NPI number is provided on an as is basis without warranty of any kind. 1063715548 is maintained by the National Plan & Provider Enumeration System. The contents of Encino Place Pain & Surgery Center Llc are for informational purposes only.