Organization · Type 2 NPI

Left Coast Sports Innovations LLC

Prosthetic/Orthotic Supplier · Los Angeles, CA

NPI number 1508589177 Active

Practice location

403 E Washington Blvd
Los Angeles, CA 90015-3720

Mailing address

PO Box 931748
Los Angeles, CA 90093-1748

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1508589177

Left Coast Sports Innovations LLC's National Provider Identifier is 1508589177, issued on Sep 20, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 3, 2022.