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

Functional Restoration

Organization Psychosomatic Medicine Physician · NPI 1184810319

Functional Restoration is a Psychosomatic Medicine Physician in Encino, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

18065 Ventura Blvd
Encino, CA 91316-3517
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

Pain Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084P2900X
Psychosomatic Medicine Physician Taxonomy 2084P0015X

Record details

NPI number1184810319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moosa Heikali — President/Medical Director · (818) 708-6163
NPI enumeratedSeptember 21, 2007
Last updated in NPPESOctober 4, 2007
Mailing addressPo Box 491149, Los Angeles, CA 90049-9149