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

West La Physical Medicine Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1417207614

West La Physical Medicine Inc is a Physical Medicine & Rehabilitation Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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

11110 Ohio Ave Ste 108
Los Angeles, CA 90025-3388
Phone: (310) 473-7130
Fax: (310) 473-5077
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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 A89000 (CA)

Record details

NPI number1417207614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Halem — Medical Doctor · (310) 473-7130
NPI enumeratedSeptember 14, 2012
Last updated in NPPESAugust 1, 2013
Mailing address11110 Ohio Ave, Suite 108, Los Angeles, CA 90025-3388

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