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KARLIS ULLIS M.D. A PROFESSIONAL CORPORATION NPI 1265674485


NPI Information

NPI: 1265674485
Provider Name: KARLIS ULLIS, M.D., A PROFESSIONAL CORPORATION

Doing Business As: SPORTS MEDICINE & PREVENTIVE MEDICAL GROUP

Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
900 WILSHIRE BLVD
SUITE 425
SANTA MONICA, CA
ZIP 90401
Phone: (310) 452-1990
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KARLIS ULLIS, M.D., A PROFESSIONAL CORPORATION 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/ KARLIS ULLIS, M.D., A PROFESSIONAL CORPORATION NPI is 1265674485. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sports Medicine & Preventive Medical Group.

The provider's business location address is:

900 WILSHIRE BLVD
SUITE 425
SANTA MONICA, CA
ZIP 90401-872
Phone: (310) 452-1990
Fax: (310) 452-5134

The provider's authorized official is Karlis Conrad Ullis .
The authorized official title is Medical Director and has the following contact phone number (310) 452-1990.

The enumeration date for this NPI number is 4/2/2009 and was last updated on 3/7/2014.


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
12083S0010XPreventive MedicineSports MedicineG20989CALIFORNIANo
2204C00000XNeuromusculoskeletal Medicine, Sports MedicineG20989CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A90674MEDICARE UPINCALIFORNIA

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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