Organization
SPINE SPORTS SURGERY CENTER, LLC
Active
Other names
Spine and Sports Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERMAN N TRAN M.D. (OWNER)
(408) 378-6773
Entity
Organization
Contact information
Practice address
429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
(408) 378-6773
(408) 520-4295
Mailing address
429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
(408) 378-6773
(408) 520-4295
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1851
MEDICARE PTAN
CA
Enumeration date
06/25/2013
Last updated
08/11/2023
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