Organization
ENCINO SPORTS MEDICINE GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN KAYE MD (CEO)
(818) 986-1210
Entity
Organization
Contact information
Practice address
16500 VENTURA BLVD, 360, ENCINO, CA 91436-2011
(818) 986-1210
(818) 986-1029
Mailing address
16500 VENTURA BLVD, 360, ENCINO, CA 91436-2011
(818) 986-1210
(818) 986-1029
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
DC28811
CA
207R00000X
Internal Medicine Physician
G7818
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G29768
CA
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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