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Organization

SC SPORTSTHERAPY

Active
Find providers by NPI
Organization

SC SPORTSTHERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LESLIE M LAM (OFFICE MANAGER)
(415) 896-2273
Entity
Organization

Contact information

Practice address
345 SPEAR ST, #105, SAN FRANCISCO, CA 94105-1673
(415) 896-2273
(415) 896-2275
Mailing address
55 NEW MONTGOMERY ST, MEZZANINE, SAN FRANCISCO, CA 94105-3412
(415) 495-2273
(415) 896-2275

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC22827
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0228270
BLUE SHIELD PROVIDER ID
CA
Enumeration date
05/23/2007
Last updated
08/22/2020
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