institution
Spine Sports Surgery Center, Llc
Ambulatory Surgical Clinic/Center in Campbell, California
NPI 1679913552

Spine Sports Surgery Center, Llc is an Ambulatory Surgical Clinic/Center based in Campbell, CA and is specialized in Ambulatory Surgical. Spine Sports Surgery Center, Llc practices in Campbell, CA. The NPI Number for Spine Sports Surgery Center, Llc is 1679913552 and holds a License No. (California).

The current practice location address for Spine Sports Surgery Center, Llc is 429 Llewellyn Ave, Campbell, CA and can be reached out via phone at 408-378-6773 and via fax at 408-520-4295.

Location: 429 Llewellyn Ave, Campbell, CA, 95008-1948
institution
Provider Profile Details
NPI Number
1679913552
Provider Name
Spine Sports Surgery Center, Llc
Credential
Provider Entity Type
Organization
Address
429 Llewellyn Ave, Campbell, CA, 95008-1948
Phone Number
408-378-6773
Fax Number
408-520-4295
Provider Enumeration Date
06/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F1851 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
429 Llewellyn Ave
City
State
Zip
95008-1948
Phone Number
408-378-6773
Fax Number
408-520-4295
person
Provider Business Mailing Address Details
Address
429 Llewellyn Ave
City
State
Zip
95008-1948
Phone Number
408-378-6773
Fax Number
408-520-4295
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
(California)
Definition
Definition to come...
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