Provider Demographics
NPI:1861534984
Name:MICHAEL B SCHLINK INC
Entity type:Organization
Organization Name:MICHAEL B SCHLINK INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHLINK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PT
Authorized Official - Phone:310-474-5150
Mailing Address - Street 1:4253 NOELINE AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-3329
Mailing Address - Country:US
Mailing Address - Phone:310-474-5150
Mailing Address - Fax:310-474-4924
Practice Address - Street 1:10780 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 480
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4749
Practice Address - Country:US
Practice Address - Phone:310-474-5150
Practice Address - Fax:310-474-4924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT8784225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ45970ZOtherBLUE SHIELD
CADL452AMedicare UPIN