Motamed, Shala
Motamed, Shala is an sole proprietor health care provider with primary practice located at 20969 Ventura Blvd 23, Woodland Hills CA 91364-2305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Motamed, Shala can be contacted via phone (818) 992-5252.Contact Information
Primary practice address
20969 Ventura Blvd 23
Woodland Hills CA 91364-2305
Phone: (818) 992-5252
Fax: (818) 992-5292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | PT14153 | California |
Profile Details
| NPI number | 1215252598 |
|---|---|
| LBN Legal business name | Motamed, Shala |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2010 |
| Last updated | Mar 30th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215252598 | NPPES |
| California | Other | PT14153 | MEDICAL LICENSE |
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