Organization · Type 2 NPI

Sports Med Md, Inc

Medical Specialty Clinic/Center · Woodland Hills, CA

NPI number 1992825087 Active

Practice location

22633 Ventura Blvd
Woodland Hills, CA 91364-1416

Fax (818) 337-7456

Mailing address

PO Box 4472
Glendale, CA 91222-0472

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XA79490 (CA)

Medical Specialty Clinic/Center: 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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About NPI 1992825087

Sports Med Md, Inc's National Provider Identifier is 1992825087, issued on Mar 30, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Woodland Hills, CA. The record was last updated on Aug 22, 2020.