Organization · Type 2 NPI

Functional Restoration

Pain Medicine (Psychiatry & Neurology) Physician · Encino, CA

NPI number 1184810319 Active

Practice location

18065 Ventura Blvd
Encino, CA 91316-3517

Fax (818) 708-6167

Mailing address

PO Box 491149
Los Angeles, CA 90049-9149

Specialties and licenses

TaxonomyCodeLicense
Psychosomatic Medicine Physician 2084P0015XNone listed
Pain Medicine (Psychiatry & Neurology) Physician Primary 2084P2900XNone listed

Pain Medicine (Psychiatry & Neurology) Physician: A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

12 other providers at this address

About NPI 1184810319

Functional Restoration's National Provider Identifier is 1184810319, issued on Sep 21, 2007. The primary taxonomy on file is Pain Medicine (Psychiatry & Neurology) Physician (2084P2900X), and the practice location is in Encino, CA. The record was last updated on Oct 4, 2007.