# SPINE AND BODY WELLNESS

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

## Provider details

- **NPI number:** 1982481172
- **Authorized official:** KIMBERLY RODRIGUEZ (OPERATIONS MANAGER)
- **Authorized official phone:** (818) 350-7265

## Contact information

- **Practice address:** 20501 VENTURA BLVD STE 252, WOODLAND HILLS, CA 91364-6408
- **Practice address phone:** (818) 350-7265
- **Mailing address:** 20501 VENTURA BLVD STE 252, WOODLAND HILLS, CA 91364-6408
- **Mailing address phone:** (818) 350-7265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/11/2023
- **Last updated:** 01/07/2026