Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bodylogicmd of Encino PC

Organization Specialist · NPI 1780826396

Bodylogicmd of Encino PC provides Specialist services in Encino, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16260 Ventura Blvd Ste 105
Encino, CA 91436-2203 Not confirmed with CMS for 17 years — call before visiting
Phone: (877) 835-1536
Fax: (877) 835-1537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A69979 (CA)

Record details

NPI number1780826396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Deuson — Director · (877) 835-1536
Other names Bodylogicmd Of Encino
NPI enumeratedMarch 27, 2009
Last updated in NPPESMay 8, 2009
Mailing address27023 McBean Pkwy, 83, Valencia, CA 91355-5145

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