# LOS GATOS SPINAL DIAGNOSTIC, INC

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

## Provider details

- **NPI number:** 1053440917
- **Authorized official:** DR. SHERMAN N TRAN MD (OWNER)
- **Authorized official phone:** (408) 364-1616

## Contact information

- **Practice address:** 429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
- **Practice address phone:** (408) 364-1616
- **Practice address fax:** (408) 378-6775
- **Mailing address:** 429 LLEWELLYN AVENUE, CAMPBELL, CA 95008
- **Mailing address phone:** (408) 364-1616
- **Mailing address fax:** (408) 378-6775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 07/10/2013