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SEPULVEDA PHYSICAL MEDICINE CENTER
NPI 1164935045
Clinic/Center - Multi-Specialty in Westchester, CA

Active since November 14, 2017
8632 S SEPULVEDA BLVD STE 101, WESTCHESTER, CA 90045(310) 348-8298 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Nov 28, 2017, Nov 14, 2017 (3 updates tracked since 2017).

About Sepulveda Physical Medicine Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEPULVEDA PHYSICAL MEDICINE CENTER (NPI 1164935045) is a healthcare organization registered as a multi-specialty in Westchester, California and active in the NPI registry since November 2017. The organization maintains a secondary practice location in Westchester and lists Darcey Ann Harraka, Owner, as its authorized official.

NPPES Registry Identity

NPI1164935045
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSEPULVEDA PHYSICAL MEDICINE CENTER
Location Address8632 S SEPULVEDA BLVD STE 101Westchester, CA 90045-4013
Mailing Address8632 S Sepulveda Blvd Ste 101Westchester, CA 90045-4013 · (310) 348-8298
Phone(310) 348-8298
Organization SubpartNo
Authorized OfficialDarcey Ann HarrakaOwner · (310) 348-8298
Enumeration DateNovember 14, 2017
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1164935045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedSurgeryTaxonomy 208600000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
8632 S SEPULVEDA BLVD STE 101, Westchester, CA 90045
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Secondary Practice Location 1

Location 18632 S Sepulveda Blvd Ste 100Westchester, CA 90045-4013 · Phone (310) 348-8298

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sepulveda Physical Medicine Center's NPI number?

The NPI number for Sepulveda Physical Medicine Center is 1164935045. It was assigned to this organization in the NPPES registry on November 14, 2017.

Where is Sepulveda Physical Medicine Center located?

Sepulveda Physical Medicine Center is located at 8632 S Sepulveda Blvd Ste 101, Westchester, CA 90045. The listed phone number is (310) 348-8298.

What is Sepulveda Physical Medicine Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Sepulveda Physical Medicine Center was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.