Organization
SPINE SPORTS SURGERY CENTER, LLC
Active
Other names
Bascom Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHERMAN NAM TRAN MD (OWNER/MANAGER)
(408) 378-6773
Entity
Organization
Contact information
Practice address
3803 S BASCOM AVE STE 106, CAMPBELL, CA 95008-7317
(408) 520-4295
Mailing address
429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
(408) 378-6773
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
05/09/2024
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