Functional Restoration Medical Center
Functional Restoration Medical Center is a General Practice Physician in Encino, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
18065 Ventura BlvdEncino, CA 91316-3517
Phone: (818) 708-6163
Fax: (818) 708-6167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence A405591 (CA) |
|---|
Record details
| NPI number | 1578758645 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Moossa Heikali — President/Medical Director · (818) 708-6163 |
| NPI enumerated | September 11, 2007 |
| Last updated in NPPES | September 11, 2007 |
| Mailing address | Po Box 491149, Los Angeles, CA 90049-9149 |
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