Orthopedics Sports Workers Medical Group Inc
Restricted
Orthopedics Sports Workers Medical Group Inc is subject to Restricted. See the individual lists below.
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Address
621 South Ham Lane, Suite A, Lodi, CA, 95242
ID Details
ID NUMBER : FNP 23730
ID TYPE : license_number
ID NUMBER : 10332540991750942546CGP170428
ID TYPE : provider_number
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Orthopedics Sports Workers Medical Group Inc Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The California Department of Health Care Services | Dec 29, 2022 | active |
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