SAN JOSE SPORTS MEDICINE & ORTHOPEDICS NPI 1245247196

NPI Information

SAN JOSE SPORTS MEDICINE & ORTHOPEDICS is a specialist in San Jose, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAN JOSE SPORTS MEDICINE & ORTHOPEDICS NPI is 1245247196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2430 SAMARITAN DR
SAN JOSE, CA
ZIP 95124-907
Phone: (408) 371-5300
Fax: (408) 371-6387

The provider's authorized official is Leo B Semkiw .
The authorized official title is President and has the following contact phone number (408) 371-5300.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 11/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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