Organization
GOLDEN STATE ORTHOPEDICS & SPINE
Active
Parent organization
GOLDEN STATE ORTHOPEDICS & SPINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOLDEN STATE ORTHOPEDICS & SPINE
Authorized official
STEPHEN HAMMARSTROM (CEO)
(925) 939-8585
Entity
Organization
Contact information
Practice address
350 JOHN MUIR PKWY STE 100, BRENTWOOD, CA 94513-5184
(925) 939-8585
(925) 933-2709
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
(925) 933-2709
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6461930003
DME SUPPLIER PTAN
—
Enumeration date
07/16/2012
Last updated
06/13/2024
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