Revupmd

Specialty details in registry · Encino, CA

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At a glance

17915 Erwin St, Encino, CA 91316-7109

NPPES record updated Apr 1, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

17915 Erwin St
Encino, CA 91316-7109

Professional details: NPI, taxonomy & registry record

NPI1730542259

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 332BC3200X
Enumeration date: Apr 1, 2016
Record updated: Apr 1, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

332BC3200X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

17915 Erwin St
Encino, CA 91316-7109

Phone: (818) 384-3904

Mailing address

17915 ERWIN ST

ENCINO, CA 913167109

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete.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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