Provider Demographics
NPI:1972325199
Name:YOSEMITE BONE AND JOINT, INC.
Entity type:Organization
Organization Name:YOSEMITE BONE AND JOINT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:ABNER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-723-2799
Mailing Address - Street 1:3365 G ST STE 60
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-0994
Mailing Address - Country:US
Mailing Address - Phone:209-723-2799
Mailing Address - Fax:209-723-2984
Practice Address - Street 1:530 W EATON AVE STE E
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-3455
Practice Address - Country:US
Practice Address - Phone:209-723-2799
Practice Address - Fax:209-723-2984
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOSEMITE BONE AND JOINT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-29
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty