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Organization
LOS ANGELES SPORTS INSTITUTE AND PHYSICAL THERAPY INC
Active
Organization
LOS ANGELES SPORTS INSTITUTE AND PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MAZALIAN (CEO)
(818) 747-4189
Entity
Organization
Contact information
Practice address
12811 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3012
(818) 747-4189
Mailing address
12811 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3012
(818) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
37937
CA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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