Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Healthy Source Rx Inc

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1366002370

Healthy Source Rx Inc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Santa Monica, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 Wilshire Blvd Ste A
Santa Monica, CA 90403-4801
Phone: (310) 574-2777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1366002370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Davis — Owner · (310) 574-2777
NPI enumeratedJune 20, 2019
Last updated in NPPESJune 20, 2019
Mailing address1112 Montana Ave Ste 900, Santa Monica, CA 90403-1652

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