# SPINE SPORTS SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bascom Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437924669
- **Authorized official:** SHERMAN NAM TRAN MD (OWNER/MANAGER)
- **Authorized official phone:** (408) 378-6773

## Contact information

- **Practice address:** 3803 S BASCOM AVE STE 106, CAMPBELL, CA 95008-7317
- **Practice address phone:** (408) 520-4295
- **Mailing address:** 429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
- **Mailing address phone:** (408) 378-6773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2023
- **Last updated:** 05/09/2024