Organization
WESTERN SIERRA ORTHOPAEDIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE PABST (PRACTICE MANAGER)
(530) 344-2070
Entity
Organization
Contact information
Practice address
4300 GOLDEN CENTER DR, SUITE C, PLACERVILLE, CA 95667-6278
(530) 344-2070
(530) 295-0400
Mailing address
4300 GOLDEN CENTER DR, SUITE C, PLACERVILLE, CA 95667-6278
(530) 344-2070
(530) 295-0400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G50528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100840
—
CA
Enumeration date
06/12/2006
Last updated
12/22/2010
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