PHYSICAL MEDICINE INSTITUTE (NPI# 1356558209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356558209 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE INSTITUTE |
| Practice Address |
4849 Van Nuys Blvd Ste 205 Sherman Oaks CA 91403-2124 |
| Mailing Address |
11693 San Vicente Blvd # 523 Los Angeles CA 90049-5105 |
| Practice Telephone | 8189053355 |
| Practice Fax Number | 8189050044 |
| Mailing Telephone | 8189053355 |
| Mailing Fax Number | 8189050044 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LILIAN M JENSEN (PHYSICIAN ASST) |
| Authorized Official Telephone | 8189053355 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A61974 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDIVIDUAL NPI | 1710955539 | 01 |
| CA | DEA | BT5286768 | 01 |
| CA | 00A61974 | 05 |
| Street Address |
4849 VAN NUYS BLVD STE 205 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790136513 | Vivian Cuevas | Specialist | 15315 Magnolia Blvd Ste 306, Sherman Oaks, CA 91403-1172 | 2016-06-22 |
| 1194162073 | Robert Clifford Ossorio | Specialist | 4144 Crisp Canyon Rd, Sherman Oaks, CA 91403-4601 | 2013-05-31 |
| 1831470830 | Valley Center for Reproductive Health Inc | Specialist | 4835 Van Nuys Blvd Ste 200b, Sherman Oaks, CA 91403-2109 | 2011-09-02 |
| 1225321227 | Heidi Soussan | Specialist | 14742 Hartsook St, Sherman Oaks, CA 91403-1407 | 2011-05-24 |
| 1033414933 | Nancy N Ahn | Specialist | 3944 Hopevale Dr, Sherman Oaks, CA 91403-4414 | 2011-01-24 |
| 1114084456 | Lawner-schnee, Neurosugery, Inc. | Specialist | 13320 Riverside Dr Ste 208, Sherman Oaks, CA 91423-2512 | 2007-01-03 |
| 1841368743 | Daniella Brown | Specialist | 5009 Woodman Ave, Unit 208, Sherman Oaks, CA 91423-1365 | 2006-12-01 |
| 1821029042 | Alexander Korchmarev | Specialist | 13245 Riverside Dr, Ste 507, Sherman Oaks, CA 91423-5625 | 2006-07-05 |
| 1225091812 | Siamak Karimian | Specialist | 4955 Van Nuys Blvd., Suite 415, Sherman Oaks, CA 91403-1827 | 2006-04-06 |
| 1063480192 | Edwin Haronian | Specialist | 5651 Sepulveda Blvd, Suite 201, Sherman Oaks, CA 91411-2916 | 2006-03-14 |
| Find all providers in SHERMAN OAKS | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
Please comment or provide details below to improve the information on PHYSICAL MEDICINE INSTITUTE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.