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Executive Endoscopy, Inc
Ambulatory Surgical Clinic/Center in San Jose, California
NPI 1194712109

Executive Endoscopy, Inc is an Ambulatory Surgical Clinic/Center based in San Jose, CA and is specialized in Ambulatory Surgical. Executive Endoscopy, Inc practices in San Jose, CA. The NPI Number for Executive Endoscopy, Inc is 1194712109 and holds a License No. (California).

The current practice location address for Executive Endoscopy, Inc is 2100 Forest Ave, San Jose, CA and can be reached out via phone at 408-297-2314 and via fax at 408-297-2414.

Location: 2100 Forest Ave, San Jose, CA, 95128-1422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194712109
Provider Name
Executive Endoscopy, Inc
Credential
Provider Entity Type
Organization
Address
2100 Forest Ave, San Jose, CA, 95128-1422
Phone Number
408-297-2314
Fax Number
408-297-2414
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SUR01553F 05 CA
institution
Provider Business Practice Location Address Details
Address
2100 Forest Ave
City
San Jose
State
California
Zip
95128-1422
Phone Number
408-297-2314
Fax Number
408-297-2414
person
Provider Business Mailing Address Details
Address
2100 Forest Ave
City
San Jose
State
California
Zip
95128-1422
Phone Number
408-297-2314
Fax Number
408-297-2414
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
(California)
Definition
Definition to come...
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