Organization
JAM SPORTS INC
Active
Other names
Jam Sports and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA ABRAHAM MAZALIAN DPT (CHIEF EXECUTIVE OFFICER)
(818) 392-4950
Entity
Organization
Contact information
Practice address
12813 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606
(183) 924-9508
(323) 935-5933
Mailing address
12813 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606
(818) 392-4950
(323) 935-5933
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
37937
CA
Other
Enumeration date
03/17/2015
Last updated
07/28/2020
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