Encino Sports Medicine Group, Inc. is a
Physical Medicine & Rehabilitation based in Encino, California. Encino Sports Medicine Group, Inc. is licensed to practice in California (license number G29768) and their current practice location is
16500 Ventura Blvd, 360, Encino, California. It can be reached at their office (for appointments etc.) via phone at
(818) 986-1210.
NPI number for Encino Sports Medicine Group, Inc. is 1053550293 and their current mailing address is 16500 Ventura Blvd, 360, Encino, California. Encino Sports Medicine Group, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1053550293.
Healthcare Provider's Profile
| Full Name | Encino Sports Medicine Group, Inc. |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 16500 Ventura Blvd, Encino, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053550293
- Provider Enumeration Date: 02/11/2009
- Last Update Date: 02/11/2009
Medical Identifiers
Medical identifiers for Encino Sports Medicine Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053550293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NR0400X | Chiropractor - Rehabilitation | DC28811 (California) | Secondary |
| 207R00000X | Internal Medicine | G7818 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | G29768 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Encino Sports Medicine Group, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Encino Sports Medicine Group, Inc.
16500 Ventura Blvd, 360,
Encino, CA 91436-2011
Ph: (818) 986-1210 | Encino Sports Medicine Group, Inc.
16500 Ventura Blvd, 360,
Encino, CA 91436-2011
Ph: (818) 986-1210 |
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