Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bodylogicmd of Encino PC

Organization Specialist · NPI 1780826396

Bodylogicmd of Encino PC is a Specialist in Encino, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16260 Ventura Blvd Ste 105
Encino, CA 91436-2203
Phone: (877) 835-1536
Fax: (877) 835-1537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A69979 (CA)

Record details

NPI number1780826396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Deuson — Director · (877) 835-1536
Other names Bodylogicmd Of Encino
NPI enumeratedMarch 27, 2009
Last updated in NPPESMay 8, 2009
Mailing address27023 McBean Pkwy, 83, Valencia, CA 91355-5145

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