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Contact Information

LEGACY HEALTH INC
18350 ROSCOE BLVD STE 218
NORTHRIDGE, CA91325-4153
 Phone: 818-620-2485
 Fax: 818-993-8158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LEGACY HEALTH INC · (Female)

NPI # 1144065236
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2024
Last updated 06/28/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • CA Other 1780245985 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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