Organization
SPINE SPORTS SURGERY CENTER, LLC
Active
Parent organization
SPINE SPORTS SURGERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPINE SPORTS SURGERY CENTER
Authorized official
SHERMAN NAM TRAN MD (OWNER/MANAGER)
(408) 364-1616
Entity
Organization
Contact information
Practice address
3803 S BASCOM AVE, CAMPBELL, CA 95008-7317
(408) 378-6773
Mailing address
3803 S BASCOM AVE, CAMPBELL, CA 95008-7317
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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