NPI | 1134274418 |
---|---|
Doing Business As | PRIMARY CARE SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | BYRON PATTERSON Medical Director 818-501-7276 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A62510) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A62510) |
2080S0010X Pediatrics, Sports Medicine (Licence: CA A62510) | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2023-06-28 |