East Bay Shoulder Clinic and Sports Rehabilitation, INC
NPI #1114027034 in Lafayette, California
Provider Information
- NPI Number
- 1114027034
- Entity Type
- Organization
- Organization Name
- East Bay Shoulder Clinic and Sports Rehabilitation, INC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Mar 21, 2018
Practice Location
- Address
- 3717 MT DIABLO BLVD STE 100
- City
- Lafayette
- State
- California
- ZIP Code
- 94549-3547
- Phone
- (925) 284-5300
Authorized Official
- Name
- DR. KIRK L JENSEN, M.D.
- Title
- PRESIDENT
- Phone
- (925) 284-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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