Organization · Type 2 NPI

Joint Rehabilitation & Sports Med CTR Inc

Nurse Practitioner · Los Angeles, CA

NPI number 1669531737 Active

Practice location

11645 Wilshire Blvd, Suite 120
Los Angeles, CA 90025-1708

Call (310) 231-7000 Map

Fax (310) 231-7227

Mailing address

11645 Wilshire Blvd #120
Los Angeles, CA 90025

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XDC16444 (CA)
Chiropractor 111N00000XDC25828 (CA)
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000XA54550 (CA)
Physician Assistant 363A00000XPA18141 (CA)
Physician Assistant 363A00000XPA15556 (CA)
Nurse Practitioner Primary 363L00000X611872 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669531737

Joint Rehabilitation & Sports Med CTR Inc's National Provider Identifier is 1669531737, issued on Dec 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 11, 2025.