# NORTHERN CALIFORNIA ORTHOPAEDIC MEDICAL GRP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760627509
- **Authorized official:** DR. ALAN G. ZACHARIA M.D. (VICE PRESIDENT)
- **Authorized official phone:** (650) 991-9400

## Contact information

- **Practice address:** 901 CAMPUS DRIVE, SUITE 111, DALY CITY, CA 94015-4930
- **Practice address phone:** (650) 991-9400
- **Practice address fax:** (650) 991-2650
- **Mailing address:** 901 CAMPUS DRIVE, SUITE 111, DALY CITY, CA 94015-4930
- **Mailing address phone:** (650) 991-9400
- **Mailing address fax:** (650) 991-2650

## Taxonomy

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

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 12/09/2008