NPIMap

Organization Active NPI

Healthyliving Medical Center, PC

  • Primary Care Clinic/Center
  • Encino, CA
National Provider Identifier
1578897831
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
20A10907 Issued in CA
Legal business name
HEALTHYLIVING MEDICAL CENTER, PC
Practice address
3513 Westfall Dr
Encino, CA 91436-4151
Phone
(630) 947-2896
Fax
(818) 387-8816
NPI assigned
Sep 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Dr. Theodore Engelmann, DO
Title
Owner
Phone
(630) 947-2896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 20A10907 CA Primary

Addresses

Primary practice location

3513 Westfall Dr
Encino, CA 91436-4151

Mailing address

3513 Westfall Dr
Encino, CA 91436-4151
Phone (630) 947-2896

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1578897831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 WESTFALL DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364151",
            "telephone_number": "630-947-2896",
            "fax_number": "818-387-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 WESTFALL DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364151",
            "telephone_number": "630-947-2896",
            "fax_number": "818-387-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYLIVING MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "ENGELMANN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-947-2896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A10907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 18, 2009; 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.