Sportsfit

Specialty details in registry · Santa Monica, CA

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At a glance

2425 Colorado Ave, Santa Monica, CA 90404-3584

NPPES record updated Oct 2, 2010. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2425 Colorado Ave Suite 114
Santa Monica, CA 90404-3584

Professional details: NPI, taxonomy & registry record

NPI1154630564

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 2251X0800X
Enumeration date: Oct 2, 2010
Record updated: Oct 2, 2010

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2251X0800X · Primary

License reported: 34446 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2425 Colorado Ave
Suite 114
Santa Monica, CA 90404-3584

Phone: (310) 878-2540
Fax: (310) 878-2536

Mailing address

2425 COLORADO AVE
SUITE 114
SANTA MONICA, CA 904043584

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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