# CALIFORNIA SPORTS & REHAB CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598867780
- **Authorized official:** SHOLEH HAKIMIAN (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (310) 652-6060

## Contact information

- **Practice address:** 16661 VENTURA BLVD, SUITE 714, ENCINO, CA 91436
- **Practice address phone:** (818) 784-6961
- **Practice address fax:** (818) 784-2336
- **Mailing address:** 50 N LA CIENEGA BLVD, SUITE 219, BEVERLY HILLS, CA 90211
- **Mailing address phone:** (310) 652-6060
- **Mailing address fax:** (310) 652-6607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A38773 | CA | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 02/01/2021