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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

NPI Number 1841379831
LBN Legal business name CALIFORNIA SPORTS AND ORTHOPAEDIC INSTITUTE INC
Authorized official ROBERT EPPLEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2006
Last updated 02/26/2013 - About 13 years ago
Identifiers
CA License # A67022
CA License # A78633
CA License # G63226
CA License # PA15294
CA License # PT21053
CA License # PT25357
CA Other ZZZ64579Z GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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