Organization
ENCINO NEUROLOGICAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FREUNDLICH M.D. (ADMINISTRATOR)
(818) 990-8561
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, SUITE 680, ENCINO, CA 91436-2124
(818) 990-8561
(818) 990-4432
Mailing address
16311 VENTURA BLVD, SUITE 680, ENCINO, CA 91436-2124
(818) 990-8561
(818) 990-4432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G021066
CA
Other
Enumeration date
07/12/2005
Last updated
12/09/2008
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