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Sports Injury Medical Grp, Inc
Specialist in Emeryville, California
NPI 1568659589

Sports Injury Medical Grp, Inc is a Specialist based in Emeryville, CA. Sports Injury Medical Grp, Inc practices in Emeryville, CA. The NPI Number for Sports Injury Medical Grp, Inc is 1568659589 and holds a License No. (California).

The current practice location address for Sports Injury Medical Grp, Inc is 5900 Hollis Street #K, Emeryville, CA and can be reached out via phone at 510-922-1614 and via fax at 510-922-8564.

Location: 5900 Hollis Street #K, Emeryville, CA, 94608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568659589
Provider Name
Sports Injury Medical Grp, Inc
Credential
Provider Entity Type
Organization
Address
5900 Hollis Street #K, Emeryville, CA, 94608
Phone Number
510-922-1614
Fax Number
510-922-8564
Provider Enumeration Date
10/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ27090Z 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
5900 Hollis Street #K
City
Emeryville
State
California
Zip
94608
Phone Number
510-922-1614
Fax Number
510-922-8564
person
Provider Business Mailing Address Details
Address
5900 Hollis Street #K
City
Emeryville
State
California
Zip
94608
Phone Number
510-922-1614
Fax Number
510-922-8564
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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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