Mark Anthony Sports Llc

LBN: Mark Anthony Sports Llc
Mark Anthony Sports Llc is an health care organization with primary practice located at 112 S Catalina Ave Suite 6, Redondo Beach CA 90277-3384. 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. Mark Anthony Sports Llc can be contacted via phone (310) 801-8879, or through Payares, Mark Anthony via phone (310) 801-8879.

Contact Information

Primary practice address
112 S Catalina Ave Suite 6 Redondo Beach CA 90277-3384
Fax: (866) 602-2994
Website:
Authorized official contact:
Name: Payares, Mark Anthony DPT

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT38186 California

Profile Details

NPI number 1225466964
LBN Legal business name Mark Anthony Sports Llc
DBA Doing business as
Authorized official Payares, Mark Anthony DPT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2013
Last updated Oct 15th, 2013 - about 12 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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