Healthcare Provider Details

I. General information

NPI: 1821031741
Provider Name (Legal Business Name): ORTHOPEDIC TRAUMA SURGEONS OF NORTHERN CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 COYLE AVE STE 212
CARMICHAEL CA
95608-6337
US

IV. Provider business mailing address

6620 COYLE AVE STE 212
CARMICHAEL CA
95608-6337
US

V. Phone/Fax

Practice location:
  • Phone: 916-536-9455
  • Fax: 916-536-9424
Mailing address:
  • Phone: 916-536-9455
  • Fax: 916-536-9424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER GLENN FINKEMEIER
Title or Position: CORP OFCR
Credential: MD
Phone: 916-536-9455