# ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC

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

## Provider details

- **NPI number:** 1376186940
- **Authorized official:** DR. ERIC SICKINGER DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (760) 636-1067

## Contact information

- **Practice address:** 665 CAMINO DE LOS MARES STE 305, SAN CLEMENTE, CA 92673-2841
- **Practice address phone:** (949) 388-1060
- **Practice address fax:** (855) 523-0512
- **Mailing address:** 665 CAMINO DE LOS MARES STE 305, SAN CLEMENTE, CA 92673-2841
- **Mailing address phone:** (949) 388-1060
- **Mailing address fax:** (855) 523-0512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 04/07/2020