# COMPREHENSIVE PAIN & SPORTS REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Joseph C. Peck, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427089176
- **Authorized official:** JOSEPH CARL PECK M.D (OWNER)
- **Authorized official phone:** (310) 618-9922

## Contact information

- **Practice address:** 1200 ROSECRANS AVE STE 202, MANHATTAN BEACH, CA 90266-2470
- **Practice address phone:** (310) 618-9922
- **Practice address fax:** (888) 618-2660
- **Mailing address:** PO BOX 3129, TORRANCE, CA 90510-3129
- **Mailing address phone:** (310) 792-3914
- **Mailing address fax:** (855) 898-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 04/10/2024