# EPIDAURUS MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EPIDAURUS MEDICAL
- **Other names:** Performance Sports and Spine, Epidaurus Rehab Consultants
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487388500
- **Legal business name:** EPIDAURUS MEDICAL
- **Authorized official:** DR. RAJ DESAI MD (OWNER)
- **Authorized official phone:** (424) 301-7090

## Contact information

- **Practice address:** 8821 AVIATION BLVD UNIT 88100, LOS ANGELES, CA 90009-3496
- **Practice address phone:** (848) 228-0612
- **Mailing address:** 8821 AVIATION BLVD UNIT 88100, LOS ANGELES, CA 90009-3496
- **Mailing address phone:** (424) 301-7090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/14/2022
- **Last updated:** 06/15/2026