Organization
ENCINO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L. LEE NELSON MD (OWNER)
(818) 858-5548
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD STE 1085, ENCINO, CA 91436-4353
(818) 858-5548
Mailing address
16311 VENTURA BLVD STE 1085, ENCINO, CA 91436-4353
(818) 858-5548
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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