Encino Procare Medical Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ENCINO PROCARE MEDICAL CENTER PC

Practice address

5535 Balboa Blvd Ste 104
Encino, CA 91316-1522

Phone

(818) 922-2140

Fax

(818) 645-0177

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Oleg Liakhovetski, MD

Title

President

Phone

(818) 922-2140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1962077149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD STE 104",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161522",
            "telephone_number": "818-922-2140",
            "fax_number": "818-645-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD STE 104",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161522",
            "telephone_number": "818-922-2140",
            "fax_number": "818-645-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO PROCARE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "LIAKHOVETSKI",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-922-2140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encino Place Pain & Surgery Center LLC
• Encino Place Pain Management and Surgery Center Inc
• Encino Place Pain Management and Surgery Center, Inc.
• Encino Place Surgery Center
• Encino Plaza Surgical Center
• Encino Recovery Center, Inc.
• Encino Recovery, Inc.
• Encino Spine & Pain Surgery Center
• Encino Sports Medicine Group, Inc.
• Encino Surgery Center, Inc

• Internal Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.