Organization · Type 2 NPI
Agile Occupational Medicine, PC
Occupational Medicine Clinic/Center · Encino, CA
NPI number
1790556348
Active
Practice location
16055 Ventura Blvd Ste 120
Encino, CA 91436-2635
Fax (818) 514-2024
Mailing address
3200 Bristol St Ste 600
Costa Mesa, CA 92626-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | None listed |
| Occupational Medicine Clinic/Center Primary | 261QX0100X | None listed |
Occupational Medicine Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1790556348
Agile Occupational Medicine, PC's National Provider Identifier is 1790556348, issued on Jan 12, 2024. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Encino, CA. The record was last updated on May 5, 2026.