Physical Medicine Institute

LBN: Physical Medicine Institute
Physical Medicine Institute is an health care organization with primary practice located at 14925 Burbank Blvd , Sherman Oaks CA 91411-3610. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Physical Medicine Institute can be contacted via phone (818) 905-3355, or through Jensen, Lilian M via phone (818) 905-3355.

Contact Information

Primary practice address
14925 Burbank Blvd Sherman Oaks CA 91411-3610
Fax: (818) 905-0044
Website:
Authorized official contact:
Name: Jensen, Lilian M Physician's Assistant Certified (PA-C)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A61974 California

Profile Details

NPI number 1356558209
LBN Legal business name Physical Medicine Institute
DBA Doing business as
Authorized official Jensen, Lilian M Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Mar 24th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356558209 NPPES
California MEDICAID 00A61974
California Other 1710955539

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