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

Knee Shoulder Back Orthopedic Medical Group, a Professional Corporatio

Organization Orthopedic Chiropractor · NPI 1245931617

Knee Shoulder Back Orthopedic Medical Group, a Professional Corporatio is an Orthopedic Chiropractor in Huntington Park, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
6

Practice location Address checks out

5417 Pacific Blvd Ste B
Huntington Park, CA 90255-2532
Phone: (323) 581-0101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Orthopedic Chiropractor Taxonomy 111NX0800X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1245931617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mahfouz Michael — Owner · (323) 999-8267
NPI enumeratedMarch 13, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023
Mailing addressPo Box 291040, Los Angeles, CA 90029-9040