| NPI | 1609922038 |
|---|---|
| Doing Business As | MARINA SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G URSICH Medical Director President 310-832-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC12564) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-06-22 |