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

Sports Rehab La

Organization Nutrition Chiropractor · NPI 1811423189

Sports Rehab La is a Nutrition Chiropractor in Encino, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
6

Practice location Address checks out

16200 Ventura Blvd #201
Encino, CA 91436-2205
Phone: (818) 986-1203
Fax: (951) 272-9924
Show map & directions

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

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Nutrition Chiropractor Taxonomy 111NN1001X (CA)
Radiology Chiropractor Taxonomy 111NR0200X (CA)
Rehabilitation Chiropractor Taxonomy 111NR0400X (CA)
Sports Physician Chiropractor Taxonomy 111NS0005X (CA)
Acupuncturist Taxonomy 171100000X (CA)

Record details

NPI number1811423189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Khaziran — President · (818) 986-1203
NPI enumeratedMay 5, 2017
Last updated in NPPESAugust 11, 2017
Mailing address16200 Ventura Blvd, 201, Encino, CA 91436-2205