Organization Active NPI

Srla Inc

  • Physical Therapy Clinic/Center
  • Encino, CA
National Provider Identifier
1003415993
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SRLA INC
Practice address
16830 Ventura Blvd Ste 150
Encino, CA 91436-1722
Phone
(818) 986-1203
Fax
(818) 986-1282
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sargis Khaziran
Title
Manager
Phone
(818) 986-1203

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

16830 Ventura Blvd Ste 150
Encino, CA 91436-1722

Mailing address

16830 Ventura Blvd Ste 150
Encino, CA 91436-1722
Phone (818) 986-1203

Other names 1

  • SRLA INC Doing business as

National Provider Directory

National Provider Directory

Locations

16830 Ventura Blvd
Ste 150
Encino, CA 91436
Phone (818) 280-0700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1003415993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16830 VENTURA BLVD STE 150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361722",
            "telephone_number": "818-986-1203",
            "fax_number": "818-986-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 VENTURA BLVD STE 150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361722",
            "telephone_number": "818-986-1203",
            "fax_number": "818-986-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "KHAZIRAN",
        "authorized_official_first_name": "SARGIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-986-1203"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRLA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.