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Organization
FITNESS PHILOSOPHY, LLC
Active
Organization
FITNESS PHILOSOPHY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON W. SHANO (C.O.O.)
(818) 223-9985
Entity
Organization
Contact information
Practice address
23067 VENTURA BLVD STE A, WOODLAND HILLS, CA 91364-1150
(818) 223-9985
(818) 223-9986
Mailing address
23067 VENTURA BLVD STE A, WOODLAND HILLS, CA 91364-1150
(818) 223-9985
(818) 223-9986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ58760Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
07/20/2006
Last updated
08/22/2020
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