# SPINE & SPORTS MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023186004
- **Authorized official:** DR. SHERMAN TRAN M.D. (OWNER)
- **Authorized official phone:** (408) 364-1616

## Contact information

- **Practice address:** 429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
- **Practice address phone:** (408) 364-1616
- **Mailing address:** 429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
- **Mailing address phone:** (408) 364-1616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | G81800 | CA | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 03/02/2009