FUNCTIONAL RESTORATION – NPI #1184810319
Psychiatry & Neurology

A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

FUNCTIONAL RESTORATION is a psychiatry & neurologist located in ENCINO, CA. NPPES has assigned the NPI number 1184810319 to FUNCTIONAL RESTORATION on September 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P2900X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Pain Medicine

The NPI profile was previously updated about 19 years ago on Oct 04, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FUNCTIONAL RESTORATION below.

NPI Profile for
FUNCTIONAL RESTORATION

NPI Number
1184810319
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FUNCTIONAL RESTORATION
Primary location
18065 VENTURA BLVD
ENCINO, CA 91316-3517
Phone: (818) 708-6163 Fax: (818) 708-6167
Mailing address
PO BOX 491149
LOS ANGELES, CA 90049-9149
Phone: (818) 708-6163 Fax: (818) 708-6167
Organization Subpart
No
Authorized Official
MOOSA HEIKALI
PRESIDENT/MEDICAL DIRECTOR
Phone: (818) 708-6163
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P2900X
- Psychiatry & Neurology / Pain Medicine (Primary)
2084P0015X
- Psychiatry & Neurology / Psychosomatic Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.