Organization · Type 2 NPI

Jam Sports Inc

Physical Therapy Clinic/Center · North Hollywood, CA

NPI number 1962895805 Active

Practice location

12813 Victory Blvd
North Hollywood, CA 91606

Fax (323) 935-5933

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center Primary	261QP2000X	37937 (CA)

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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NPI record

NPI: 1962895805
Entity type: Organization (Type 2)
Issued: Mar 17, 2015
Last updated: Jul 28, 2020
Status: Active

Other names

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Jam Sports and Spine · other name
Jam Sports and Spine · other name

Authorized official

Dr. Joshua Abraham Mazalian, DPT
Chief Executive Officer
(818) 392-4950

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962895805

Jam Sports Inc's National Provider Identifier is 1962895805, issued on Mar 17, 2015. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in North Hollywood, CA. The record was last updated on Jul 28, 2020.