Provider Demographics
NPI:1588901532
Name:EXER MEDICAL CORPORATION
Entity type:Organization
Organization Name:EXER MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPURLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-880-2225
Mailing Address - Street 1:2381 ROSECRANS AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-4920
Mailing Address - Country:US
Mailing Address - Phone:818-287-0894
Mailing Address - Fax:
Practice Address - Street 1:26777 AGOURA RD
Practice Address - Street 2:STE 4
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-2967
Practice Address - Country:US
Practice Address - Phone:818-880-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85541261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care