Premier Physician Network
Specialty details in registry · Encino, CA
At a glance
16030 Ventura Blvd Ste 200, Encino, CA 91436-2754
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
16030 Ventura Blvd Ste 200Encino, CA 91436-2754
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 302R00000X
- Enumeration date
- Apr 3, 2007
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
302R00000X · Primary
License reported: G040404 CA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
16030 Ventura Blvd Ste 200Encino, CA 91436-2754
- Phone
- (818) 541-5030
- Fax
- (818) 461-5095
Mailing address
16030 VENTURA BLVD STE 200ENCINO, CA 914362754
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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