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Executive Endoscopy, Inc.
Endoscopy Clinic/Center in San Jose, California
NPI 1598815110

Executive Endoscopy, Inc. is a Endoscopy Clinic/Center based in San Jose, CA and is specialized in Endoscopy. Executive Endoscopy, Inc. practices in San Jose, CA. The NPI Number for Executive Endoscopy, Inc. is 1598815110 and holds a License No. 070000639 (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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598815110
Provider Name
Executive Endoscopy, Inc.
Credential
Provider Entity Type
Organization
Address
2100 Forest Ave, San Jose, CA, 95128
Phone Number
408-297-2314
Fax Number
408-297-2414
Provider Enumeration Date
01/12/2007
Last Update Date
03/12/2024
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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
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
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...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Endoscopy
Taxonomy
261QE0800X
License No.
070000639 (California)
Definition
Definition to come...
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