# CALIFORNIA ORTHOPEDICS & SPINE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CALIFORNIA ORTHO AND SPINE
- **Other names:** Mt. Tam Orthopedics, A Medical Center, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356836993
- **Legal business name:** CALIFORNIA ORTHO AND SPINE
- **Authorized official:** MICHAEL OECHSEL MD (CFO)
- **Authorized official phone:** (415) 927-5300

## Contact information

- **Practice address:** 5 BON AIR RD STE 129, LARKSPUR, CA 94939-1139
- **Practice address phone:** (415) 924-8900
- **Practice address fax:** (415) 924-7149
- **Mailing address:** 18 BON AIR RD, LARKSPUR, CA 94939-1123
- **Mailing address phone:** (415) 927-5300
- **Mailing address fax:** (415) 927-6860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/26/2018
- **Last updated:** 10/01/2018