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Organization

PRIMARY CARE SPORTS MEDICINE A MEDICAL CORPORATION

Active
Other names
Primary Care Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
BYRON PATTERSON MD (OWNER)
(818) 501-7276
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
01/24/2007
Last updated
02/19/2026
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