OrganizationActive
Universal Specialties Medical Group, P.C.
NPI 1639405293 · Physical Medicine & Rehabilitation Physician · Los Angeles, CA
Provider details
- NPI number
- 1639405293
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tae Kim, President(213) 536-4242
- License
- A32370 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
440 Shatto Pl
2nd Floor #208
Los Angeles, CA 90020-1765
Phone: (213) 536-4242
Fax: (866) 438-5974
Street-level locationGet directions
Mailing address
440 Shatto Pl
Los Angeles, CA 90020-1765
Other names (DBA / former)
- Doing business as
- Rehabcare Medical Group
Registry dates
- Enumerated
- 2009-11-02
- Last updated
- 2009-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.