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

Neil Ghodadra MD Inc

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1164979803

Neil Ghodadra MD Inc is a Sports Medicine (Orthopaedic Surgery) Physician in Los Angeles, California. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10780 Santa Monica Blvd Ste 210
Los Angeles, CA 90025-4749
Phone: (310) 929-4787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1164979803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neil Ghodadra — Physician/Director · (678) 596-1344
NPI enumeratedSeptember 9, 2016
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing addressPo Box 8636, Calabasas, CA 91372-8636

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