Organization · Type 2 NPI
Spine Restoration A Medical Corporation
Medical Specialty Clinic/Center · Encino, CA
Practice location
16030 Ventura Blvd Ste 400
Encino, CA 91436-2778
Fax (818) 981-2389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | G71795 (CA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1962926147
Spine Restoration A Medical Corporation's National Provider Identifier is 1962926147, issued on Jul 31, 2017. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Encino, CA. The record was last updated on Jul 21, 2022.