Healthcare Provider Details

I. General information

NPI: 1215940606
Provider Name (Legal Business Name): CARE CENTER REHABILITATION AND PAIN MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16550 VENTURA BLVD FIRST FLOOR
ENCINO CA
91436-2004
US

IV. Provider business mailing address

16550 VENTURA BLVD FIRST FLOOR
ENCINO CA
91436-2004
US

V. Phone/Fax

Practice location:
  • Phone: 818-784-0990
  • Fax: 818-784-9069
Mailing address:
  • Phone: 818-784-0990
  • Fax: 818-784-9069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY14180
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC21561
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number23728
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC4054
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberG36778
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberC26209
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberA41871
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License NumberFUNCTIONAL RESTORATI
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT22297
License Number StateCA
# 10
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateCA
# 11
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberG36778A
License Number StateCA

VIII. Authorized Official

Name: DR. BRENDA M KLASS
Title or Position: ADMINISTRATOR
Credential: MFT, PHD
Phone: 818-784-0990