# GOLDEN STATE ORTHOPEDICS & SPINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GOLDEN STATE ORTHOPEDICS & SPINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093307746
- **Legal business name:** GOLDEN STATE ORTHOPEDICS & SPINE
- **Authorized official:** K.C. CAMPION (CEO)
- **Authorized official phone:** (925) 210-8573

## Contact information

- **Practice address:** 80 GRAND AVE STE 600, OAKLAND, CA 94612-3744
- **Practice address phone:** (925) 939-8585
- **Mailing address:** PO BOX 31396, WALNUT CREEK, CA 94598-8396
- **Mailing address phone:** (925) 939-8585
- **Mailing address fax:** (925) 933-2709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2021
- **Last updated:** 01/26/2022