MEDICARE: SPORTS MEDICINE INSTITUTE - LOS ANGELES A PROF PHYSICAL THERAPY CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1093713125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPORTS MEDICINE INSTITUTE - LOS ANGELES A PROF PHYSICAL THERAPY CO

Provider Business Mailing Address
First Line	:	1590 S SINCLAIR ST
Second Line	:	C/O SMI
City	:	ANAHEIM
State	:	CA
Zip	:	92806-5933
Country	:	US
Telephone Number	:	714-939-6200
Fax Number	:	714-939-6500

Provider Business Practice Location Address
First Line	:	9100 S SEPULVEDA BLVD
Second Line	:	STE 116
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-4814
Country	:	US
Telephone Number	:	714-939-6200
Fax Number	:	714-939-6500

Authorized Official
Title or Position	:	MANAGER
Name	:	CINDY GRAHAM
Credential	:	PT
Telephone Number	:	714-939-6200

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	09/23/2015

Similar Medicare Providers

1033117163 — MARTA KATZ PT
Practice Location Address:

9100 S SEPULVEDA BLVD , STE 116
LOS ANGELES, CA
90045-4814

Practice Phone: 310-649-6470
Practice Fax: 310-649-6471

1063426914 — DOUGLAS HAGY PT
Practice Location Address:

9100 S SEPULVEDA BLVD , SUITE 116
LOS ANGELES, CA
90045-4814

Practice Phone: 310-649-6470
Practice Fax: 310-649-6471

1649300476 — DR. MICHAEL ARAGHI D.C.
Practice Location Address:

9100 S SEPULVEDA BLVD , SUITE 104
LOS ANGELES, CA
90045-4814

Practice Phone: 310-670-9999
Practice Fax: 310-670-9994

1639200462 — DR. MATTHEW ARAGHI D.C.
Practice Location Address:

9100 S SEPULVEDA BLVD , SUITE 104
LOS ANGELES, CA
90045-4814

Practice Phone: 310-670-9999
Practice Fax: 310-670-9994

1477684215 — MICHAEL AND MATTHEW CHIROPRACTIC INC.
Practice Location Address:

9100 S SEPULVEDA BLVD , SUITE 104
LOS ANGELES, CA
90045-4814

Practice Phone: 310-670-9999
Practice Fax: 310-670-9994

1700054806 — THERON LEON CHILES
Practice Location Address:

9100 S SEPULVEDA BLVD , SUITE 105
LOS ANGELES, CA
90045-4814

Practice Phone: 310-644-3659
Practice Fax:

Directions to “SPORTS MEDICINE INSTITUTE - LOS ANGELES A PROF PHYSICAL THERAPY CO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.