Organization · Type 2 NPI

Pacific States Medical Center, Apc

Specialist · Encino, CA

NPI number 1912823741 Active

Practice location

16530 Ventura Blvd Ste 105
Encino, CA 91436-4505

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1912823741

Pacific States Medical Center, Apc's National Provider Identifier is 1912823741, issued on Jun 25, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Encino, CA. The record was last updated on Jun 25, 2026.