Organization
CALIFORNIA ORTHOPEDICS & SPINE INC
Active
Parent organization
CALIFORNIA ORTHO AND SPINE
Other names
Mt. Tam Orthopedics, A Medical Center, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA ORTHO AND SPINE
Authorized official
MICHAEL OECHSEL MD (CFO)
(415) 927-5300
Entity
Organization
Contact information
Practice address
5 BON AIR RD STE 129, LARKSPUR, CA 94939-1139
(415) 924-8900
(415) 924-7149
Mailing address
18 BON AIR RD, LARKSPUR, CA 94939-1123
(415) 927-5300
(415) 927-6860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
06/26/2018
Last updated
10/01/2018
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