Organization
ENCINO HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA RACHMAN M.D. (OWNER)
(818) 906-7643
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, STE 309, ENCINO, CA 91436-2203
(818) 906-7643
Mailing address
16260 VENTURA BLVD, STE 309, ENCINO, CA 91436-2203
(818) 906-7643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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