Sports Med Md, Inc in Glendale - Medical Specialty
Sports Med Md, Inc - NPI 1992825087
Sports Med Md, Inc is a Medical Specialty in Glendale, California. Sports Med Md, Inc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Sports Med Md, Inc is 1992825087. The last update date is 2020-08-22.
Sports Med Md, Inc's current location address is Po Box 4472, Glendale, California. You can contact this provider via phone number 8188236474 and fax number 8183377456. The mailing address for Sports Med Md, Inc is Po Box 4472, Glendale, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Sports Med Md, Inc |
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Address | Po Box 4472, Glendale, California |
Phone Number | 8188236474 |
Fax Number | 8183377456 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Martinez A Ronica |
Credentials | M.D. |
Telephone Number | 8188236474 |
NPI Number Detail
NPI Number | 1992825087 |
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Provider Enumeration Date | 2007-03-30 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Po Box 4472 |
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City | Glendale |
State | California (CA) |
Post Code | 912220472 |
Phone Number | 8188236474 |
Fax Number | 8183377456 |
Provider's Primary Taxonomy Detail
Speciality | Medical Specialty |
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Taxonomy | 261Qm2500X |
Licence No | A79490 |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1861415853 | CA | NPI |
Post Comment/ Review Below
What is the Sports Med Md, Inc's unique identification number?
The Sports Med Md, Inc has been assigned the NPI (National Provider Identifier) Number 1992825087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Sports Med Md, Inc is located?
The Sports Med Md, Inc is situated at the following address: Po Box 4472, Glendale, CA, 912220472.
What is Sports Med Md, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sports Med Md, Inc's area of specialization is Medical Specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2500X.
When did the Sports Med Md, Inc receive its 1992825087?
The Sports Med Md, Inc was issued its 1992825087 on 2007-03-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Sports Med Md, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sports Med Md, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC