Organization
ORTHOSYNTHESIS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAISAL M MIRZA MD (PRESIDENT)
(415) 533-1680
Entity
Organization
Contact information
Practice address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 559-4343
Mailing address
220 STANDIFORD AVE STE F, MODESTO, CA 95350-1159
(209) 579-5628
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A85343
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
A85343
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A85343
CA
207XX0801X
Orthopaedic Trauma Physician
A85343
CA
Other
Enumeration date
03/03/2015
Last updated
01/29/2020
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