Advanced Sports Medicine & Orthopedic Pt

LBN: Advanced Sports Medicine & Orthopedic Pt
Advanced Sports Medicine & Orthopedic Pt is an health care organization with primary practice located at 1200 Rosecrans Ave Ste 206 , Manhattan Beach CA 90266-2451. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as the primary health care specialty. Advanced Sports Medicine & Orthopedic Pt can be contacted via phone (310) 416-9700, or through Molina, Dana via phone (310) 416-9793.

Contact Information

Primary practice address
1200 Rosecrans Ave Ste 206 Manhattan Beach CA 90266-2451
Fax: (310) 416-1120
Website:
Authorized official contact:
Name: Molina, Dana

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT18890 California

Profile Details

NPI number 1558406728
LBN Legal business name Advanced Sports Medicine & Orthopedic Pt
DBA Doing business as
Authorized official Molina, Dana
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated May 29th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558406728 NPPES
California Other PT18890 LICENSE

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