Organization
ORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORP
Active
Parent organization
ORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORP
Authorized official
DR. JOHN WILLIAM JAUREGUITO MD (PRESIDENT PHYSICIAN)
(510) 739-6520
Entity
Organization
Contact information
Practice address
39180 FARWELL DR, SUITE 110, FREMONT, CA 94538-1000
(510) 739-6520
(510) 739-6522
Mailing address
39180 FARWELL DR, SUITE 110, FREMONT, CA 94538-1000
(510) 739-6520
(510) 739-6522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G81317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089060
—
CA
Enumeration date
12/13/2006
Last updated
03/07/2023
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