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Organization
SAN JOSE ORTHOPEDIC ASSOCIATES MEDICAL CORPORATION
Active
Organization
SAN JOSE ORTHOPEDIC ASSOCIATES MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK IRA GOLOD M.D. (PRESIDENT)
(408) 358-8300
Entity
Organization
Contact information
Practice address
2505 SAMARITAN DR, SUITE 210, SAN JOSE, CA 95124-4008
(408) 358-8300
(408) 358-8301
Mailing address
2505 SAMARITAN DR, SUITE 210, SAN JOSE, CA 95124-4008
(408) 358-8300
(408) 358-8301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G33893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA7662
RAILROAD MEDICARE
CA
01
—
ZZZ02894Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
02/13/2007
Last updated
07/17/2014
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