Active NPI
Urban Fit & Therapy Inc.
- Sports Physician Chiropractor
- Los Angeles, CA
National Provider Identifier
1902130057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC30452
- Legal business name
- URBAN FIT & THERAPY INC.
- Practice address
- 408 W 11TH St
Los Angeles, CA 90015-2102 - Phone
- (310) 994-1205
- NPI assigned
- Sep 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Pendon, DC
- Title
- Ceo
- Phone
- (310) 994-1205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC30452 | CA | Primary |
Addresses
Primary practice location
408 W 11TH St
Los Angeles, CA 90015-2102
Mailing address
10501 Wilshire Blvd
Suite 1204
Los Angeles, CA 90024-6302
Phone (310) 994-1205
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253577600000",
"number": "1902130057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 WILSHIRE BLVD",
"address_2": "SUITE 1204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900246302",
"telephone_number": "310-994-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 W 11TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900152102",
"telephone_number": "310-994-1205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URBAN FIT & THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A",
"authorized_official_last_name": "PENDON",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-994-1205",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC30452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.