LEGACY HEALTH INC NPI 1144065236

NPI Information

  • NPI: 1144065236
  • Provider Name: LEGACY HEALTH INC
  • Classification: Internal Medicine - 207RS0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 18350 ROSCOE BLVD STE 218
    NORTHRIDGE, CA
    ZIP 91325
  • Phone: (818) 620-2485

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NPI Details

LEGACY HEALTH INC is a sports medicine internal medicine in Northridge, CA. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. LEGACY HEALTH INC NPI is 1144065236. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18350 ROSCOE BLVD STE 218
NORTHRIDGE, CA
ZIP 91325-153
Phone: (818) 620-2485
Fax: (818) 993-8158

The provider's authorized official is Raahil Kajani .
The authorized official title is President and has the following contact phone number (818) 620-2485.

The enumeration date for this NPI number is 6/28/2024 and was last updated on 6/28/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RS0010XInternal MedicineSports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11780245985OTHERCALIFORNIANPI

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: 11/21/2025

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