Organization · Type 2 NPI

Bodylogicmd of Encino P.c.

Specialist · Encino, CA

NPI number 1780826396 Active

Practice location

16260 Ventura Blvd, Suite 105
Encino, CA 91436-2203

Call (877) 835-1536 Map

Fax (877) 835-1537

Mailing address

27023 Mcbean Pkwy, 83
Valencia, CA 91355-5145

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA69979 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780826396

Bodylogicmd of Encino P.c.'s National Provider Identifier is 1780826396, issued on Mar 27, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Encino, CA. The record was last updated on May 8, 2009.