| 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 |