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Organization
GAMEDAY SPORTS MEDICINE ACADEMY
Active
Organization
GAMEDAY SPORTS MEDICINE ACADEMY
Active
Parent organization
CALIFORNIA INSTITUTE OF COSMETIC AND RECONSTRUCTIVE SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA INSTITUTE OF COSMETIC AND RECONSTRUCTIVE SURGERY
Authorized official
VIPUL RAMAN DEV (OWNER/PRESIDENT)
(661) 327-2101
Entity
Organization
Contact information
Practice address
3101 GILMORE AVE STE 100, BAKERSFIELD, CA 93308-6342
(661) 327-2101
(661) 327-2554
Mailing address
2901 SILLECT AVE STE 201, BAKERSFIELD, CA 93308-6373
(661) 706-9444
(661) 327-2554
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
—
NULL
2080S0010X
Pediatric Sports Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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