Organization
SOUTH BAY ORTHOPEDIC AND SPORTS MEDICINE CLINIC, INC.
Active
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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