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Organization
TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC
Active
Organization
TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC
Active
Other names
Tri-Valley Orthopedic Specialists Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH RHOTON (BILLING DEPARTMENT MANAGER)
(925) 469-0939
Entity
Organization
Contact information
Practice address
5601 NORRIS CANYON RD, SUITE 130, SAN RAMON, CA 94583-5407
(925) 275-1133
(925) 275-1298
Mailing address
4626 WILLOW RD, SUITE 200, PLEASANTON, CA 94588-2710
(925) 469-0939
(925) 469-0165
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP2106
MEDICARE RAILROAD
CA
Enumeration date
10/05/2005
Last updated
02/27/2013
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