Organization
SRLA INC
Active
Other names
SRLA INC
Organization subpart
No
Provider details
NPI number
Authorized official
SARGIS KHAZIRAN (MANAGER)
(818) 986-1203
Entity
Organization
Contact information
Practice address
16830 VENTURA BLVD STE 150, ENCINO, CA 91436-1722
(818) 986-1203
(818) 986-1282
Mailing address
16830 VENTURA BLVD STE 150, ENCINO, CA 91436-1722
(818) 986-1203
(818) 986-1282
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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