Restore Medical Group, A Professional Corporation in Encino - Specialist
Restore Medical Group, A Professional Corporation - NPI 1700970753
Restore Medical Group, A Professional Corporation is a Specialist in Encino, California. Restore Medical Group, A Professional Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Restore Medical Group, A Professional Corporation is 1700970753. The last update date is 2008-03-18.
Restore Medical Group, A Professional Corporation's current location address is Po Box 261399, Encino, California. You can contact this provider via phone number 8187869417 and fax number 8187869419. The mailing address for Restore Medical Group, A Professional Corporation is Po Box 261399, Encino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Restore Medical Group, A Professional Corporation |
|---|---|
| Address | Po Box 261399, Encino, California |
| Phone Number | 8187869417 |
| Fax Number | 8187869419 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Coppelson Aaaron |
| Credentials | MD |
| Telephone Number | 8187869417 |
NPI Number Detail
| NPI Number | 1700970753 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2008-03-18 |
Provider Mailing Address Detail
| Address | Po Box 261399 |
|---|---|
| City | Encino |
| State | California (CA) |
| Post Code | 914261399 |
| Phone Number | 8187869417 |
| Fax Number | 8187869419 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A76120 |
|
Definition: An 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1891775235 | CA | NPI | |
| 1171563 | CA | CAQH |
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What is the unique 10-digit identification code issued to Restore Medical Group, A Professional Corporation by the Centers for Medicare & Medicaid Services?
The Restore Medical Group, A Professional Corporation has been assigned the NPI (National Provider Identifier) 1700970753 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Restore Medical Group, A Professional Corporation?
The Restore Medical Group, A Professional Corporation is situated at Po Box 261399, in the city of Encino, state of CA, with the zip code 914261399.
What is the Restore Medical Group, A Professional Corporation's specialty and taxonomy code?
The Restore Medical Group, A Professional Corporation's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the Restore Medical Group, A Professional Corporation's 1700970753 issued?
The Restore Medical Group, A Professional Corporation's 1700970753 was issued on 2006-10-03.
When was the Restore Medical Group, A Professional Corporation's information last updated?
The Restore Medical Group, A Professional Corporation's information was last updated on 2008-03-18.