Encino Sports Medicine Group, Inc.

NPI 1053550293 - Chiropractor - 111NR0400X

NPI Details
NPI 1053550293
Enumeration Date 02/11/2009
Last Updated 02/11/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name STEVEN STEVEN
Position CEO
Phone (818) 986-1210
Fax (818) 986-1029
Practice Location
16500 VENTURA BLVD
360
ENCINO CA, 91436-2011, US
Phone (818) 986-1210
Fax (818) 986-1029
Business Location
16500 VENTURA BLVD
360
ENCINO CA, 91436-2011, US
Phone (818) 986-1210
Fax (818) 986-1029
Toxanomy
Taxonomy Code 111NR0400X
License State California
License Number DC28811
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According to our database, Encino Sports Medicine Group, Inc. NPI is 1053550293, taxonomy code is 111NR0400X and license number is DC28811, license state is located at California. Encino Sports Medicine Group, Inc. physically located at 16500 Ventura Blvd, Encino CA, 91436-2011. NPI Number 1033115704 has the healthcare provider type.

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1053550293 NPI number is provided on an as is basis without warranty of any kind. 1053550293 is maintained by the National Plan & Provider Enumeration System. The contents of Encino Sports Medicine Group, Inc. are for informational purposes only.