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San Jose Sports Medicine & Orthopedics
Specialist in San Jose, California
NPI 1245247196

San Jose Sports Medicine & Orthopedics is a Specialist based in San Jose, CA. San Jose Sports Medicine & Orthopedics practices in San Jose, CA. The NPI Number for San Jose Sports Medicine & Orthopedics is 1245247196 and holds a License No. G56561 (California).

The current practice location address for San Jose Sports Medicine & Orthopedics is 2430 Samaritan Dr, San Jose, CA and can be reached out via phone at 408-371-5300 and via fax at 408-371-6387.

Location: 2430 Samaritan Dr, San Jose, CA, 95124-3907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245247196
Provider Name
San Jose Sports Medicine & Orthopedics
Credential
Provider Entity Type
Organization
Address
2430 Samaritan Dr, San Jose, CA, 95124-3907
Phone Number
408-371-5300
Fax Number
408-371-6387
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G565611 01 CA MEDICARE PROVIDER NUMBER
1215949110 01 CA LEO SEMKIW M.D. INDIVIDUAL NPI
1881615334 01 CA MONICA SWEET PA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
2430 Samaritan Dr
City
San Jose
State
California
Zip
95124-3907
Phone Number
408-371-5300
Fax Number
408-371-6387
person
Provider Business Mailing Address Details
Address
2430 Samaritan Dr
City
San Jose
State
California
Zip
95124-3907
Phone Number
408-371-5300
Fax Number
408-371-6387
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G56561 (California)
Definition
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.
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