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SANTA MONICA SPORTS MEDICINE CENTER NPI 1073637328


NPI Information

NPI: 1073637328
Provider Name: SANTA MONICA SPORTS MEDICINE CENTER
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
900 WILSHIRE BLVD
SUITE 410
SANTA MONICA, CA
ZIP 90401
Phone: (310) 458-1259
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SANTA MONICA SPORTS MEDICINE CENTER is a neuromusculoskeletal medicine sports medicine in Santa Monica, CA. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ SANTA MONICA SPORTS MEDICINE CENTER NPI is 1073637328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 WILSHIRE BLVD
SUITE 410
SANTA MONICA, CA
ZIP 90401-872
Phone: (310) 458-1259

The provider's authorized official is Michael Schreiber .
The authorized official title is President and has the following contact phone number (310) 458-1259.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine20A5391CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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