LEFT COAST SPORTS INNOVATIONS LLC
NPI 1508589177
Prosthetic/Orthotic Supplier in Los Angeles, CA

Active since September 20, 2022
403 E WASHINGTON BLVD, LOS ANGELES, CA 90015(855) 396-8800 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 3, 2022, Sep 20, 2022 (2 updates tracked since 2022).

About Left Coast Sports Innovations Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEFT COAST SPORTS INNOVATIONS LLC (NPI 1508589177) is a healthcare organization registered as a prosthetic/orthotic supplier in Los Angeles, California and active in the NPI registry since September 2022. The organization lists Jack Khorsandi, Mbr, as its authorized official.

NPPES Registry Identity

NPI1508589177
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameLEFT COAST SPORTS INNOVATIONS LLC
Location Address403 E WASHINGTON BLVDLos Angeles, CA 90015-3720
Mailing AddressPo Box 931748Los Angeles, CA 90093-1748
Organization SubpartNo
Authorized OfficialJack KhorsandiMbr · (310) 466-9990
Enumeration DateSeptember 20, 2022
Last NPPES UpdateOctober 3, 20222 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
NPI 1508589177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

403 E WASHINGTON BLVD, Los Angeles, CA 90015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Left Coast Sports Innovations LLC's NPI number?

The NPI number for Left Coast Sports Innovations LLC is 1508589177. It was assigned to this organization in the NPPES registry on September 20, 2022.

Where is Left Coast Sports Innovations LLC located?

Left Coast Sports Innovations LLC is located at 403 E Washington Blvd, Los Angeles, CA 90015. The listed phone number is (855) 396-8800.

What is Left Coast Sports Innovations LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Left Coast Sports Innovations LLC was last updated on October 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.