Healthcare Provider Details

I. General information

NPI: 1457439499
Provider Name (Legal Business Name): RHEUMATOLOGICAL REHAB MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 16TH STREET
SANTA MONICA CA
90404
US

IV. Provider business mailing address

1328 16TH STREET
SANTA MONICA CA
90404
US

V. Phone/Fax

Practice location:
  • Phone: 310-394-1113
  • Fax: 310-395-3218
Mailing address:
  • Phone: 310-394-1113
  • Fax: 310-395-3218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2471B0102X
TaxonomyBone Densitometry Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT L SWEZEY
Title or Position: PRESIDENT AND MEDICAL DIRECTOR
Credential: MD
Phone: 310-394-1113