Provider Type Icon

SOCAL DIAGNOSTICS LLC NPI 1407200546


NPI Information

NPI: 1407200546
Provider Name: SOCAL DIAGNOSTICS LLC
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
1500 S ANAHEIM BLVD
SUITE 160
ANAHEIM, CA
ZIP 92805
Phone: (657) 999-5679
Get Directions

SOCAL DIAGNOSTICS LLC is a sports medicine physical medicine rehabilitation in Anaheim, CA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. SOCAL DIAGNOSTICS LLC NPI is 1407200546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 S ANAHEIM BLVD
SUITE 160
ANAHEIM, CA
ZIP 92805-242
Phone: (657) 999-5679

The provider's authorized official is Jason Aaron Walter David .
The authorized official title is Member and has the following contact phone number (657) 999-5679.

The enumeration date for this NPI number is 4/14/2016 and was last updated on 4/14/2016.


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
12081S0010XPhysical Medicine & RehabilitationSports MedicineYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.