Organization
RESTORE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LEON (COO)
(954) 641-5366
Entity
Organization
Contact information
Practice address
16530 VENTURA BLVD, SUITE 200, ENCINO, CA 91436-4554
(954) 641-5366
Mailing address
16530 VENTURA BLVD, SUITE 200, ENCINO, CA 91436-4554
(954) 641-5366
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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