# WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION
- **Other names:** Webster Orthopedic & Sports Physical Therapy Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598732984
- **Legal business name:** WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION
- **Authorized official:** DR. JOHN THEODORE SCHWARTZ JR. M.D. (PRESIDENT)
- **Authorized official phone:** (925) 362-2166

## Contact information

- **Practice address:** 200 PORTER DR, SUITE 101, SAN RAMON, CA 94583-1587
- **Practice address phone:** (925) 483-1440
- **Mailing address:** 200 PORTER DR, SUITE 215, SAN RAMON, CA 94583-1587
- **Mailing address phone:** (925) 362-2166
- **Mailing address fax:** (855) 574-3055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 01/16/2017