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

La Sports Rehab Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1578881694

La Sports Rehab Inc is a Physical Medicine & Rehabilitation Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
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

10780 Santa Monica Blvd Ste 333
Los Angeles, CA 90025-4749
Phone: (310) 575-0935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence A75933 (CA)

Record details

NPI number1578881694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barak Mevorak — President · (310) 575-0935
NPI enumeratedMay 13, 2010
Last updated in NPPESMay 13, 2010
Mailing address10780 Santa Monica Blvd, Suite 333, Los Angeles, CA 90025-4749

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