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

La Physiatrists Professional Corporation

Organization Clinical Psychologist · NPI 1558316984

La Physiatrists Professional Corporation is a Clinical Psychologist in Los Angeles, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

1245 Wilshire Blvd Ste 403
Los Angeles, CA 90017-4810
Phone: (213) 482-1046
Fax: (213) 482-4811
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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
Clinical Psychologist Taxonomy 103TC0700X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1558316984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Minor — President · (213) 482-1046
Other names Los Angeles Pain & Wellness Institute
NPI enumeratedMay 24, 2006
Last updated in NPPESOctober 25, 2007
Mailing address1245 Wilshire Blvd, Suite 403, Los Angeles, CA 90017-4810

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