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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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