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Organization

PRIMARY CARE SPORTS MEDICINE A MEDICAL CORPORATION

Active
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Organization

PRIMARY CARE SPORTS MEDICINE A MEDICAL CORPORATION

Active
Other names
Primary Care Sports Medicine a Medical Corporation
Organization subpart
No

Provider details

NPI number
Authorized official
BYRON PATTERSON (CEO)
(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) 921-7702

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
06/28/2023
Last updated
02/19/2026
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