# SPINAL REHABILITATION MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPINAL REHABILITATION MEDICAL GROUP, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508157801
- **Legal business name:** SPINAL REHABILITATION MEDICAL GROUP, INC.
- **Authorized official:** JORGE MORAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 829-2225

## Contact information

- **Practice address:** 2317 BROADWAY, SANTA MONICA, CA 90404-2915
- **Practice address phone:** (310) 829-2225
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 04/21/2011