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

Encino Neurodiagnostic Center

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1235433657

Encino Neurodiagnostic Center is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Encino, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
2

Practice location Address checks out

16661 Ventura Blvd 226
Encino, CA 91436-1914
Phone: (818) 708-6163
Fax: (818) 708-6167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence A40559 (CA)
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X · Licence A40559 (CA)

Record details

NPI number1235433657
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationF&m Radiology Medical Center Inc
Authorized official Moossa Heikali — Owner/Medical Director · (818) 708-6163
NPI enumeratedDecember 28, 2010
Last updated in NPPESDecember 28, 2010
Mailing addressPo Box 49911, Los Angeles, CA 90049-0911

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