Organization Name: | SAN JOSE SPORTS MEDICINE & ORTHOPEDICS |
NPI Number: | 1245247196 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEO B SEMKIW (PRESIDENT) |
Mailing Address: | 2430 Samaritan Dr San Jose |
State: | CA US |
Postal Code: | 951243907 |
Phone Number: | 4083715300 |
Fax Number: | 4083716387 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 11/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G56561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |