Organization
CALIFORNIA SPORTS AND ORTHOPAEDIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM PAVETTO (ADMINISTRATOR)
(510) 704-7760
Entity
Organization
Contact information
Practice address
350 30TH ST STE 530, OAKLAND, CA 94609-3426
(510) 422-5150
(510) 422-5149
Mailing address
2999 REGENT ST STE 225, BERKELEY, CA 94705-2117
(510) 704-7760
(510) 704-7765
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
04/23/2018
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