COMPREHENSIVE PAIN AND SPORTS REHAB


Address: 23600 Telo Ave, Suite 180, Torrance, CA 90505-4035
Phone: 3102571500

COMPREHENSIVE PAIN AND SPORTS REHAB (NPI# 1154351179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154351179
Entity Type Organization
Organization Name COMPREHENSIVE PAIN AND SPORTS REHAB
Practice Address 23600 Telo Ave
Suite 180
Torrance
CA 90505-4035
Practice Telephone 3102571500
Practice Fax Number 3102571511
Mailing Telephone 3102571500
Mailing Fax Number 3102571511
Enumeration Date 2006-07-04
Last Update Date 2020-08-22
Authorized Official Name DR. JOSEPH CARL PECK (OWNER/PHYSICIAN)
Authorized Official Telephone 3102571500
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
A55235 CA Ambulatory Health Care Facilities

Office Location

Street Address 23600 TELO AVE
SUITE 180
City TORRANCE
State CA
Zip Code 90505-4035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518963719 Andrew Yuh-fong Lin Internal Medicine 23600 Telo Ave, Ste 280, Torrance, CA 90505-4037 2005-06-22
1255839791 Portia Ann Keough Nurse Practitioner 23600 Telo Ave, Torrance, CA 90505-4035 2018-01-30
1790135267 Clear Vista Ophthalmology Inc, A Medical Corporation Ophthalmology 23600 Telo Ave, Suite 100, Torrance, CA 90505-4035 2016-06-15
1912307828 Chris Mellano Md Orthopaedic Surgery 23600 Telo Ave, Torrance, CA 90505-4035 2014-08-27
1053663369 Peter S. Lorman, M.d., A Professonal Corp Orthopaedic Surgery 23600 Telo Ave, Suite 180, Torrance, CA 90505-4035 2012-10-10
1275812380 Center for Digestive Health & Nutritional Excellence, Inc Nutritionist 23600 Telo Ave, Suite #260, Torrance, CA 90505-4035 2011-08-06
1710298948 Christopher L Watts Jr. Specialist/Technologist, Other 23600 Telo Ave, Suite 180, Torrance, CA 90505-4035 2010-06-22
1215255583 Prestige Care Physician, Inc Internal Medicine 23600 Telo Ave, Suite 145, Torrance, CA 90505-4035 2010-05-12
1669702288 Wolstan & Goldberg Eye Associates Inc., A Medical Corporaton Eyewear Supplier (Equipment, not the service) 23600 Telo Ave, Suite 100, Torrance, CA 90505-4035 2010-01-04
1447584586 Wellcare Sleep Center Inc Clinic/Center 23600 Telo Ave, Suite150, Torrance, CA 90505-4035 2009-09-22
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1376052274 Regents of The University of California Durable Medical Equipment & Medical Supplies 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 2017-09-22
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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1245569003 Torrance Medical Group Inc. Clinic/Center 2573b Pacific Coast Highway, Torrance, CA 90505-7950 2009-12-08
1295271179 Scpc Surgery Center Clinic/Center 4201 Torrance Blvd, Ste 590, Torrance, CA 90503-4504 2017-01-16
1912398660 Gs Medical Center, Inc. Clinic/Center 2421 W 205th St, Ste D-107, Torrance, CA 90501-1468 2015-02-16
1053659128 Dr Karim Soliman Md A Professional Corporation Clinic/Center 3661 Torrance Blvd Ste 200, Torrance, CA 90503-4886 2013-01-24

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1013478130 Advanced Pain Medical Group, Inc. Clinic/Center 655 W Avenue Q Ste B, Palmdale, CA 93551-3894 2019-03-29
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Competitor

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City TORRANCE
Zip Code 90505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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