FUNCTIONAL RESTORATION MEDICAL CENTER

ENCINO, CA
NPI1578758645
Entity TypeOrganization
Authorized ContactMOOSSA HEIKALI
President/Medical Director
818-708-6163
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: CA  a405591)
Enumeration Date2007-09-11
Last Update Date2007-09-11
Business Address
FUNCTIONAL RESTORATION MEDICAL CENTER
18065 VENTURA BLVD
ENCINO, CA 91316-3517
Phone number: 818-708-6163
Mailing Address
FUNCTIONAL RESTORATION MEDICAL CENTER
PO BOX 491149
LOS ANGELES, CA 90049-9149
Phone number: 818-708-6163