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Sports Med Md, Inc
Medical Specialty Clinic/Center in Woodland Hills, California
NPI 1992825087

Sports Med Md, Inc is a Medical Specialty Clinic/Center based in Glendale, CA and is specialized in Medical Specialty. Sports Med Md, Inc practices in Woodland Hills, CA. The NPI Number for Sports Med Md, Inc is 1992825087 and holds a License No. A79490 (California).

The current practice location address for Sports Med Md, Inc is 22633 Ventura Blvd, Woodland Hills, CA and can be reached out via phone at 818-444-5100 and via fax at 818-337-7456.

Location: 22633 Ventura Blvd, Woodland Hills, CA, 91222-0472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992825087
Provider Name
Sports Med Md, Inc
Credential
Provider Entity Type
Organization
Address
22633 Ventura Blvd, Woodland Hills, CA, 91222-0472
Phone Number
818-444-5100
Fax Number
818-337-7456
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861415853 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
22633 Ventura Blvd
City
Woodland Hills
State
California
Zip
91364-1416
Phone Number
818-444-5100
Fax Number
818-337-7456
person
Provider Business Mailing Address Details
Address
22633 Ventura Blvd
City
Woodland Hills
State
California
Zip
91364-1416
Phone Number
818-444-5100
Fax Number
818-337-7456
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A79490 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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