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Organization

SAN JOSE SPORTS MEDICINE & ORTHOPEDICS

Active
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Organization

SAN JOSE SPORTS MEDICINE & ORTHOPEDICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEO B SEMKIW M.D. (PRESIDENT)
(408) 371-5300
Entity
Organization

Contact information

Practice address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 371-5300
(408) 371-6387
Mailing address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 371-5300
(408) 371-6387

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G56561
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G565611
MEDICARE PROVIDER NUMBER
CA
01
1215949110
LEO SEMKIW M.D. INDIVIDUAL NPI
CA
01
1881615334
MONICA SWEET PA INDIVIDUAL NPI
CA
Enumeration date
08/02/2006
Last updated
11/14/2008
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