Organization
CALIFORNIA ORTHOPEDICS & SPINE INC
Active
Parent organization
CALIFORNIA ORTHOPEDICS & SPINE INC
Other names
Mt. Tam Orthopedics, A Medical Center, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA ORTHOPEDICS & SPINE INC
Authorized official
ROBERT H. BYERS (BOARD MEMBER)
(415) 927-5300
Entity
Organization
Contact information
Practice address
18 BON AIR RD, LARKSPUR, CA 94939
(415) 927-5300
(415) 927-5242
Mailing address
18 BON AIR RD, LARKSPUR, CA 94939-1123
(415) 927-5300
(415) 927-5242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
ZZZ13645Z
CA
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
05/26/2006
Last updated
09/27/2018
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