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CALIFORNIA SPORTS AND SPINE INSTITUTE PC NPI 1801327606


NPI Information

NPI: 1801327606
Provider Name: CALIFORNIA SPORTS AND SPINE INSTITUTE, PC
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
800 S CENTRAL AVE STE 301
GLENDALE, CA
ZIP 91204
Phone: (818) 338-6860
Get Directions

CALIFORNIA SPORTS AND SPINE INSTITUTE, PC is a sports medicine physical medicine rehabilitation in Glendale, 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. CALIFORNIA SPORTS AND SPINE INSTITUTE, PC NPI is 1801327606. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 S CENTRAL AVE STE 301
GLENDALE, CA
ZIP 91204-388
Phone: (818) 338-6860
Fax: (888) 425-9079

The provider's authorized official is Maxim Moradian .
The authorized official title is President/owner and has the following contact phone number (818) 913-9356.

The enumeration date for this NPI number is 3/23/2017 and was last updated on 3/22/2021.


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
1208100000XPhysical Medicine & RehabilitationA118692CALIFORNIANo
22081P2900XPhysical Medicine & RehabilitationPain MedicineA118692CALIFORNIANo
32081S0010XPhysical Medicine & RehabilitationSports MedicineA118692CALIFORNIAYes

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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