Physical Medicine Institute in Los Angeles - Specialist
Physical Medicine Institute - NPI 1356558209
Physical Medicine Institute is a Specialist in Los Angeles, California. Physical Medicine Institute practices all healthcare services and medical treatments related to Specialist. The NPI Number for Physical Medicine Institute is 1356558209. The last update date is 2023-03-24.
Physical Medicine Institute's current location address is 11693 San Vicente Blvd # 523, Los Angeles, California. You can contact this provider via phone number 8189053355 and fax number 8189050044. The mailing address for Physical Medicine Institute is 11693 San Vicente Blvd # 523, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Physical Medicine Institute |
|---|---|
| Address | 11693 San Vicente Blvd # 523, Los Angeles, California |
| Phone Number | 8189053355 |
| Fax Number | 8189050044 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Jensen M Lilian |
| Credentials | PA-C |
| Telephone Number | 8189053355 |
NPI Number Detail
| NPI Number | 1356558209 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2023-03-24 |
Provider Mailing Address Detail
| Address | 11693 San Vicente Blvd # 523 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900495105 |
| Phone Number | 8189053355 |
| Fax Number | 8189050044 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A61974 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A61974 | CA | -- | |
| 1710955539 | CA | INDIVIDUAL NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Physical Medicine Institute by the Centers for Medicare & Medicaid Services?
The Physical Medicine Institute has been assigned the NPI (National Provider Identifier) 1356558209 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Physical Medicine Institute?
The Physical Medicine Institute is physically situated at 11693 San Vicente Blvd # 523, in the city of Los Angeles, state of CA, with the postal code 900495105.
What is the Physical Medicine Institute's area of specialization and corresponding taxonomy classification?
The Physical Medicine Institute's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Physical Medicine Institute's 1356558209 issued?
The Physical Medicine Institute's 1356558209 was issued on 2007-05-17.
As of what date were the details pertaining to Physical Medicine Institute last refreshed?
The information related to the Physical Medicine Institute, including its address, specialty, and other relevant details, was last updated on 2023-03-24.