Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PHYSICAL MEDICINE INSTITUTE
Active
Organization
PHYSICAL MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILIAN M JENSEN PA-C (PHYSICIAN ASST)
(818) 905-3355
Entity
Organization
Contact information
Practice address
14925 BURBANK BLVD, SHERMAN OAKS, CA 91411-3610
(818) 905-3355
(818) 905-0044
Mailing address
11693 SAN VICENTE BLVD # 523, LOS ANGELES, CA 90049-5105
(818) 905-3355
(818) 905-0044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A61974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A61974
—
CA
01
—
1710955539
INDIVIDUAL NPI
CA
Enumeration date
05/17/2007
Last updated
03/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up