Individual
S. SAMUEL BEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 W. LA VETA AVENUE SUITE 300, SPINE AND SPORTS SPECIALTIES MEDICAL GROUP, ORANGE, CA 92868-4246
(714) 598-1745
(714) 941-9539
Mailing address
1120 W. LA VETA AVENUE SUITE 300, SPINE AND SPORTS SPECIALTIES MEDICAL GROUP, ORANGE, CA 92868-4246
(714) 598-1745
(714) 941-9539
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A105779
CA
Other
Enumeration date
10/28/2008
Last updated
04/20/2021
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