ENCINO SPORTS MEDICINE GROUP, INC.

ENCINO, CA
NPI1053550293
Entity TypeOrganization
Authorized ContactSTEVEN KAYE
CEO
818-986-1210
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CA  G29768)
Additional Taxonomies111NR0400X 
(Licence: CA  DC28811)
207R00000X Internal Medicine
(Licence: CA  G7818)
Enumeration Date2009-02-11
Last Update Date2009-02-11
Business Address
ENCINO SPORTS MEDICINE GROUP, INC.
16500 VENTURA BLVD 360
ENCINO, CA 91436-2011
Phone number: 818-986-1210
Mailing Address
ENCINO SPORTS MEDICINE GROUP, INC.
16500 VENTURA BLVD 360
ENCINO, CA 91436-2011
Phone number: 818-986-1210