SPORTS REHAB LA (NPI# 1811423189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811423189 |
| Entity Type | Organization |
| Organization Name | SPORTS REHAB LA |
| Practice Address |
16200 Ventura Blvd #201 Encino CA 91436-2205 |
| Practice Telephone | 8189861203 |
| Practice Fax Number | 9512729924 |
| Mailing Telephone | 8189861203 |
| Mailing Fax Number | 9512729924 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-08-11 |
| Authorized Official Name | PATRICK KHAZIRAN (PRESIDENT) |
| Authorized Official Telephone | 8189861203 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
CA | Chiropractic Providers | |
| N | 111NR0200X |
Chiropractor Specialization: Radiology |
CA | Chiropractic Providers | |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CA | Chiropractic Providers | |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CA | Chiropractic Providers | |
| N | 171100000X | Acupuncturist | CA | Other Service Providers | |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
16200 VENTURA BLVD #201 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007717 | Daniel Gamble | Chiropractor | 16200 Ventura Blvd, Suite 409, Encino, CA 91436-2205 | 2006-03-22 |
| 1811518145 | Larissa Marie Todisco | Specialist/Technologist | 16200 Ventura Blvd, Encino, CA 91436-2205 | 2020-04-28 |
| 1255898227 | Evangelina Sotelo-bolanos | Nutritionist | 16200 Ventura Blvd, Encino, CA 91436-2205 | 2019-02-26 |
| 1497288807 | Elad Sinay D.c., A Professional Chiropractic Corporation | Chiropractor | 16200 Ventura Blvd, Suite Number 409, Encino, CA 91436-2205 | 2017-04-04 |
| 1790216497 | James Darmo Dc | Chiropractor | 16200 Ventura Blvd, Suite 201, Encino, CA 91436-2205 | 2017-03-23 |
| 1629436969 | Infinite Homehealth and Palliative Care Inc | Home Health | 16200 Ventura Blvd, Suite209, Encino, CA 91436-2205 | 2016-02-01 |
| 1821423070 | Genevieve A. Macdonald, M.d., Inc. | Plastic Surgery | 16200 Ventura Blvd, Suite 309, Encino, CA 91436-2205 | 2013-09-06 |
| 1124364336 | Vip Hospice Care | Hospice Care, Community Based | 16200 Ventura Blvd, Ste 311, Encino, CA 91436-2205 | 2012-12-14 |
| 1144463068 | Patrick Khaziran | Chiropractor | 16200 Ventura Blvd, Encino, CA 91436-2205 | 2009-04-07 |
| 1861677452 | Elena Pushin | Social Worker | 16200 Ventura Blvd, Suite 403, Encino, CA 91436-2205 | 2008-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154369502 | Energy Physical Therapy Inc | Clinic/Center | 16573 Ventura Blvd Ste 5, Encino, CA 91436-2021 | 2006-06-04 |
| 1497387005 | Quantum Physical Therapy Inc | Clinic/Center | 5435 Balboa Blvd Ste 207, Encino, CA 91316-1576 | 2020-02-11 |
| 1700427689 | Koa Capital Ltd, Inc. | Clinic/Center | 5061 Haskell Ave, Encino, CA 91436-1548 | 2019-10-02 |
| 1639443690 | Lurie Physical Therapy | Clinic/Center | 17071 Ventura Blvd, Suite 103, Encino, CA 91316-4130 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.