Organization
SOUTH BAY ORTHOPEDIC AND SPORTS MEDICINE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR SHARMA M.D. (OWNER)
(408) 376-3380
Entity
Organization
Contact information
Practice address
333 OCONNOR DR, SAN JOSE, CA 95128-1623
(408) 376-3380
Mailing address
2386 BENTLEY RIDGE DR, SAN JOSE, CA 95138-2435
(530) 294-1136
(530) 294-1143
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
H27947
CA
208100000X
Physical Medicine & Rehabilitation Physician
A85279
CA
Other
Enumeration date
10/05/2006
Last updated
01/18/2023
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