# PRIMARY CARE SPORTS MEDICINE A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Care Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134274418
- **Authorized official:** BYRON PATTERSON MD (OWNER)
- **Authorized official phone:** (818) 501-7276

## Contact information

- **Practice address:** 29229 CANWOOD ST STE 112, AGOURA HILLS, CA 91301-1561
- **Practice address phone:** (818) 501-7276
- **Practice address fax:** (818) 501-7288
- **Mailing address:** 29229 CANWOOD ST STE 112, AGOURA HILLS, CA 91301-1561
- **Mailing address phone:** (818) 501-7276
- **Mailing address fax:** (818) 501-7288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | A62510 | CA | Yes |
| 208000000X | Pediatrics Physician | A62510 | CA | — |
| 2080S0010X | Pediatric Sports Medicine Physician | A62510 | CA | — |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 02/19/2026