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

Pacific Coast Sports Medicine

Organization Chiropractor · NPI 1083985451

Pacific Coast Sports Medicine is a Chiropractor in Los Angeles, California. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
8

Practice location Address checks out

11600 Wilshire Blvd Ste 522
Los Angeles, CA 90025-5781
Phone: (310) 477-7276
Fax: (310) 477-5148
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Chiropractor Taxonomy 111N00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X
Physical Therapist Taxonomy 225100000X
Massage Therapist Taxonomy 225700000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1083985451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Obrien — President · (310) 477-7276
NPI enumeratedJanuary 18, 2012
Last updated in NPPESJanuary 18, 2012
Mailing address11600 Wilshire Blvd, Suite 522, Los Angeles, CA 90025-5781

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