Organization
EAST BAY SHOULDER CLINIC AND SPORTS REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK L JENSEN M.D. (PRESIDENT)
(925) 284-5300
Entity
Organization
Contact information
Practice address
3717 MT DIABLO BLVD STE 100, LAFAYETTE, CA 94549-3547
(925) 284-5300
(925) 284-5381
Mailing address
PO BOX 1298, LAFAYETTE, CA 94549-1298
(925) 284-5300
(925) 284-5381
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
03/21/2018
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