Basic Information
Provider Information
NPI: 1376731778
EntityType: 2
ReplacementNPI:  
OrganizationName: CALIFORNIA HAND CENTER, INC.
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Mailing Information
Address1: 16055 VENTURA BLVD STE 120
Address2:  
City: ENCINO
State: CA
PostalCode: 914362635
CountryCode: US
TelephoneNumber: 8183865575
FaxNumber: 8183861999
Practice Location
Address1: 16055 VENTURA BLVD STE 120
Address2:  
City: ENCINO
State: CA
PostalCode: 914362635
CountryCode: US
TelephoneNumber: 8183865575
FaxNumber: 8183861999
Other Information
ProviderEnumerationDate: 10/10/2007
LastUpdateDate: 07/16/2019
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: YOUNAI
AuthorizedOfficialFirstName: SOHEIL
AuthorizedOfficialMiddleName: SEAN
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 8183865575
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XX0005X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
208D00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansGeneral Practice 
261QM1300X  N Ambulatory Health Care FacilitiesClinic/CenterMulti-Specialty
2082S0105X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand

No ID Information.


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