Provider Demographics
NPI:1356439996
Name:THE SPORTSMED COMPANY
Entity Type:Organization
Organization Name:THE SPORTSMED COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HOHL
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:310-478-6222
Mailing Address - Street 1:1835 S SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4313
Mailing Address - Country:US
Mailing Address - Phone:310-478-6222
Mailing Address - Fax:310-478-6696
Practice Address - Street 1:1835 S SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4313
Practice Address - Country:US
Practice Address - Phone:310-478-6222
Practice Address - Fax:310-478-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy