# SPINE SPORTS SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPINE SPORTS SURGERY CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881461713
- **Legal business name:** SPINE SPORTS SURGERY CENTER
- **Authorized official:** SHERMAN NAM TRAN MD (OWNER/MANAGER)
- **Authorized official phone:** (408) 364-1616

## Contact information

- **Practice address:** 3803 S BASCOM AVE, CAMPBELL, CA 95008-7317
- **Practice address phone:** (408) 378-6773
- **Mailing address:** 3803 S BASCOM AVE, CAMPBELL, CA 95008-7317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2023
- **Last updated:** 12/11/2023