Organization · Type 2 NPI

Golden State Sports Injury and Orthopedic Medical Associates, Inc.

Non-Pharmacy Dispensing Site · Northridge, CA

NPI number 1124334107 Active

Practice location

18531 Roscoe Blvd Ste 202
Northridge, CA 91324-5950

Mailing address

2980 N Beverly Glen Cir, Suite 100
Los Angeles, CA 90077-1726

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1124334107

Golden State Sports Injury and Orthopedic Medical Associates, Inc.'s National Provider Identifier is 1124334107, issued on Aug 27, 2010. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Northridge, CA. The record was last updated on Oct 19, 2015.