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Contact Information

CALIFORNIA SPORTS AND ORTHOPAEDIC INSTITUTE INC
2999 REGENT ST
STE 225
BERKELEY, CA94705-2146
 Phone: 510-704-7760
 Fax: 510-704-7765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CALIFORNIA SPORTS AND ORTHOPAEDIC INSTITUTE INC · (Female)

NPI Number 1841379831
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2006
Last updated 02/26/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A67022
  • CA License # A78633
  • CA License # G63226
  • CA License # PA15294
  • CA License # PT21053
  • CA License # PT25357
  • CA Other ZZZ64579Z GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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