Functional Restoration Med Ctr in Los Angeles - Specialist
Functional Restoration Med Ctr - NPI 1609068626
Functional Restoration Med Ctr is a Specialist in Los Angeles, California. Functional Restoration Med Ctr practices all healthcare services and medical treatments related to Specialist. The NPI Number for Functional Restoration Med Ctr is 1609068626. The last update date is 2007-08-14.
Functional Restoration Med Ctr's current location address is Po Box 491149, Los Angeles, California. You can contact this provider via phone number 8187086163 and fax number 8187086167. The mailing address for Functional Restoration Med Ctr is Po Box 491149, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Functional Restoration Med Ctr |
|---|---|
| Address | Po Box 491149, Los Angeles, California |
| Phone Number | 8187086163 |
| Fax Number | 8187086167 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Tebyani Hooshidar |
| Credentials | M.D. |
| Telephone Number | 8187086163 |
NPI Number Detail
| NPI Number | 1609068626 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | Po Box 491149 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900499149 |
| Phone Number | 8187086163 |
| Fax Number | 8187086167 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A41195 |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Functional Restoration Med Ctr by the Centers for Medicare & Medicaid Services (CMS)?
The Functional Restoration Med Ctr has been assigned the NPI (National Provider Identifier) 1609068626. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Functional Restoration Med Ctr is located?
The Functional Restoration Med Ctr is situated at the following address: Po Box 491149, Los Angeles, CA, 900499149.
What is Functional Restoration Med Ctr's area of expertise and its corresponding taxonomy classification?
The Functional Restoration Med Ctr's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1609068626 to Functional Restoration Med Ctr?
The Functional Restoration Med Ctr received its 1609068626 assignment from the Centers for Medicare & Medicaid Services on 2007-08-14.
When was the information pertaining to Functional Restoration Med Ctr most recently updated or revised?
The details related to Functional Restoration Med Ctr, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-14.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC