Organization
SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE
Active
Organization
SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE
Active
Parent organization
SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE, INC.
Other names
PREMIER ORTHOPAEDIC TRAUMA SPECIALISTS, PMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPORTS MEDICINE AND ORTHOPAEDIC INSTITUTE, INC.
Authorized official
DR. SAMIR NAYYAR M.D. (PRESIDENT)
(760) 552-8585
Entity
Organization
Contact information
Practice address
12490 BUSINESS CENTER DR STE 100, VICTORVILLE, CA 92395-5833
(760) 522-8585
(760) 243-4276
Mailing address
17100B BEAR VALLEY RD # 283, VICTORVILLE, CA 92395-5851
(760) 552-8585
(760) 243-4276
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A144350
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A144350
CA
Other
Enumeration date
07/05/2017
Last updated
02/13/2025
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