Joint Rehabilitation & Sports Med Ctr Inc is a
Nurse Practitioner based in Los Angeles, California. Joint Rehabilitation & Sports Med Ctr Inc is licensed to practice in California (license number 611872) and their current practice location is
11645 Wilshire Blvd, Suite 120, Los Angeles, California. It can be reached at their office (for appointments etc.) via phone at
(310) 231-7000.
NPI number for Joint Rehabilitation & Sports Med Ctr Inc is 1669531737 and their current mailing address is 11645 Wilshire Blvd #120, Los Angeles, California. Joint Rehabilitation & Sports Med Ctr Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1669531737.
Healthcare Provider's Profile
| Full Name | Joint Rehabilitation & Sports Med Ctr Inc |
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| Type | Facility |
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| Speciality | Nurse Practitioner |
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| Location | 11645 Wilshire Blvd, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669531737
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Joint Rehabilitation & Sports Med Ctr Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669531737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC16444 (California) | Primary |
| 111N00000X | Chiropractor | DC25828 (California) | Primary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | A54550 (California) | Primary |
| 363A00000X | Physician Assistant | PA18141 (California) | Primary |
| 363A00000X | Physician Assistant | PA15556 (California) | Primary |
| 363L00000X | Nurse Practitioner | 611872 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joint Rehabilitation & Sports Med Ctr Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Joint Rehabilitation & Sports Med Ctr Inc
11645 Wilshire Blvd #120,
Los Angeles, CA 90025
Ph: (310) 231-7000 | Joint Rehabilitation & Sports Med Ctr Inc
11645 Wilshire Blvd, Suite 120,
Los Angeles, CA 90025-1708
Ph: (310) 231-7000 |
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