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Organization
SPINE SPORTS SURGERY CENTER, LLC
Active
Organization
SPINE SPORTS SURGERY CENTER, LLC
Active
Other names
Bascom Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHERMAN NAM TRAN MD (OWNER/MANAGER)
(408) 378-6773
Entity
Organization
Contact information
Practice address
3803 S BASCOM AVE STE 106, CAMPBELL, CA 95008-7317
(408) 520-4295
Mailing address
429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
(408) 378-6773
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/17/2023
Last updated
05/09/2024
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