Organization
PODESTA ORTHOPEDIC & SPORTS MEDICINE INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUGA PODESTA M.D. (PRESIDENT)
(805) 491-4008
Entity
Organization
Contact information
Practice address
351 ROLLING OAKS DR, SUITE 104, THOUSAND OAKS, CA 91361-1275
(805) 491-4008
Mailing address
351 ROLLING OAKS DR, SUITE 104, THOUSAND OAKS, CA 91361-1275
(805) 491-4008
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A46655
CA
Other
Enumeration date
02/02/2008
Last updated
02/02/2008
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