Organization
SPINE AND BODY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RODRIGUEZ (OPERATIONS MANAGER)
(818) 350-7265
Entity
Organization
Contact information
Practice address
20501 VENTURA BLVD STE 252, WOODLAND HILLS, CA 91364-6408
(818) 350-7265
Mailing address
20501 VENTURA BLVD STE 252, WOODLAND HILLS, CA 91364-6408
(818) 350-7265
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
09/11/2023
Last updated
01/07/2026
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