Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Left Coast Sports Innovations LLC

Organization Prosthetic/Orthotic Supplier · NPI 1508589177

Left Coast Sports Innovations LLC is a Prosthetic/Orthotic Supplier in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

403 E Washington Blvd
Los Angeles, CA 90015-3720
Phone: (855) 396-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1508589177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Khorsandi — Mbr · (310) 466-9990
NPI enumeratedSeptember 20, 2022
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing addressPo Box 931748, Los Angeles, CA 90093-1748

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