# JOINT REHABILITATION & SPORTS MED CTR INC

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

## Provider details

- **NPI number:** 1669531737
- **Authorized official:** CHRISTY KESSLER (OFFICE MANAGER)
- **Authorized official phone:** (310) 231-7000

## Contact information

- **Practice address:** 11645 WILSHIRE BLVD, SUITE 120, LOS ANGELES, CA 90025-1708
- **Practice address phone:** (310) 231-7000
- **Practice address fax:** (310) 231-7227
- **Mailing address:** 11645 WILSHIRE BLVD \#120, LOS ANGELES, CA 90025
- **Mailing address phone:** (310) 231-7000
- **Mailing address fax:** (310) 231-7227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC16444 | CA | — |
| 111N00000X | Chiropractor | DC25828 | CA | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | A54550 | CA | — |
| 363A00000X | Physician Assistant | PA15556 | CA | — |
| 363A00000X | Physician Assistant | PA18141 | CA | — |
| 363L00000X | Nurse Practitioner | 611872 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 09/11/2025