FUNCTIONAL RESTORATION MED CTR

ENCINO, CA
NPI1609068626
Entity TypeOrganization
Authorized ContactHOOSHIDAR TEBYANI
Physician
818-708-6163
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  A41195)
Enumeration Date2007-08-14
Last Update Date2007-08-14
Business Address
FUNCTIONAL RESTORATION MED CTR
18065 VENTURA BLVD
ENCINO, CA 91316-3517
Phone number: 818-708-6163
Mailing Address
FUNCTIONAL RESTORATION MED CTR
PO BOX 491149
LOS ANGELES, CA 90049-9149
Phone number: 818-708-6163
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