Organization
SPORTS ORTHOPEDIC AND REHABILITATION MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLIKA BASU (MANAGER)
(408) 556-8407
Entity
Organization
Contact information
Practice address
500 ARGUELLO ST, STE 100, REDWOOD CITY, CA 94063-1566
(650) 851-4900
(408) 556-8415
Mailing address
500 ARGUELLO ST, REDWOOD CITY, CA 94063-1566
(650) 851-4900
(408) 556-8415
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
12/04/2006
Last updated
07/24/2014
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