ENCINO NEUROLOGICAL MEDICAL GROUP NPI 1700884871

Specialist in Encino, CA

NPI 1700884871 Organization Specialist

About ENCINO NEUROLOGICAL MEDICAL GROUP

Encino Neurological Medical Group is a provider established in Encino, California specializing in specialist. The NPI number of Encino Neurological Medical Group is 1700884871 and was assigned on July 2005. The practitioner's primary taxonomy code is 174400000X with license number G021066 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Encino Neurological Medical Group operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Robert Freundlich M.d. (Administrator)

NPI

1700884871

Provider NameENCINO NEUROLOGICAL MEDICAL GROUP
Provider Location Address16311 VENTURA BLVD SUITE 680 ENCINO, CA 91436
Provider Mailing Address16311 VENTURA BLVD SUITE 680 ENCINO, CA 91436
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-12-2005
Last Update Date12-09-2008


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.G021066
License StateCA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

ENCINO NEUROLOGICAL MEDICAL GROUP
16311 VENTURA BLVD
SUITE 680
ENCINO, CA
ZIP 91436
Phone: (818) 990-8561
Fax: (818) 990-4432

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Mailing Address

ENCINO NEUROLOGICAL MEDICAL GROUP
16311 VENTURA BLVD
SUITE 680
ENCINO, CA
ZIP 91436
Phone: (818) 990-8561
Fax: (818) 990-4432



Authorized Official

Authorized Official Name ROBERT FREUNDLICH M.D.
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(818) 990-8561

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
W3924MEDICARE ID-TYPE UNSPECIFIED (04)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912902792DR. JEFFREY D GOSS D.P.M.
Individual
Podiatrist16311 VENTURA BLVD STE 630
ENCINO, CA 91436
(818) 995-3039
1154329597DR. PARVIZ ASHER LAHIJI M.D.
Individual
General Practice16311 VENTURA BLVD STE 907
ENCINO, CA 91436
(818) 907-7070
1700884905 ARTHUR P. KOWELL M.D.
Individual
Psychiatry & Neurology (Neurology)16311 VENTURA BLVD SUITE 680
ENCINO, CA 91436
(818) 990-8561
1881692093DR. ROBERT FREUNDLICH M.D.
Individual
Specialist16311 VENTURA BLVD SUITE 680
ENCINO, CA 91436
(818) 990-8561
1295727659DR. FRANKLIN D NIVER D.M.D.
Individual
Dentist (Periodontics)16311 VENTURA BLVD SUITE 1110
ENCINO, CA 91436
(818) 788-6600
1386633303 STEVEN ZLATT M.D.
Individual
Anesthesiology16311 VENTURA BLVD #705/710
ENCINO, CA 91436
(818) 205-9500
1982685996DR. MARK WELLISCH M.D.
Individual
Orthopaedic Surgery16311 VENTURA BLVD SUITE 800
ENCINO, CA 91436
(818) 788-7343
1669453676DR. ELLIOT RYAN CARLISLE M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)16311 VENTURA BLVD SUITE 800
ENCINO, CA 91436
(818) 788-7343
1811978828MR. RICARDO CAMPBELL P.A.
Individual
Physician Assistant16311 VENTURA BLVD SUITE 800
ENCINO, CA 91436
(818) 788-7343
1467433037DR. BRAD STEVEN ELKINS M.D.
Individual
Ophthalmology16311 VENTURA BLVD SUITE 750
ENCINO, CA 91436
(818) 990-3623
1962483537OPHTHALMOLOGY ASSOCIATES OF THE VALLEY MEDICAL GROUP
Organization
Ophthalmology16311 VENTURA BLVD SUITE 750
ENCINO, CA 91436
(818) 990-3623
1790766491MR. DANIEL JEREMY COSGROVE MD
Individual
Urology16311 VENTURA BLVD STE 800
ENCINO, CA 91436
(878) 906-0635
1609857309MR. MALCOLM DAVID COSGROVE MD
Individual
Urology16311 VENTURA BLVD STE 1000
ENCINO, CA 91436
(818) 906-0635
1578544144DR. PETER DONALD ZEEGEN M.D.
Individual
Ophthalmology16311 VENTURA BLVD SUITE 750
ENCINO, CA 91436
(818) 990-3623
1861473464DR. PAYAM VAHEDIFAR M.D.
Individual
Physical Medicine & Rehabilitation (Pain Medicine)16311 VENTURA BLVD SUITE 800
ENCINO, CA 91436
(818) 788-7343
1346221728DR. DAVID HARLAN AIZUSS M.D.
Individual
Ophthalmology16311 VENTURA BLVD 750
ENCINO, CA 91436
(818) 990-3623
1104892538 BLAINE T ZAID D.O.
Individual
Anesthesiology16311 VENTURA BLVD STE.#1010
ENCINO, CA 91436
(818) 789-9988
1780640144MR. GEORGE A MARANON D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)16311 VENTURA BLVD SUITE 820
ENCINO, CA 91436
(818) 990-5500
1326006024DR. JEFFREY PRESTON LAKE M.D.
Individual
Colon & Rectal Surgery16311 VENTURA BLVD SUITE 505
ENCINO, CA 91436
(818) 645-5920
1124065206DR. KATHERINE L SELLWOOD PSYD
Individual
Psychologist (Clinical)16311 VENTURA BLVD SUITE 977
ENCINO, CA 91436
(818) 907-5491

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.