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SAN JOSE EAR AND SINUS MEDICAL CENTER NPI 1942497763


NPI Information

NPI: 1942497763
Provider Name: SAN JOSE EAR AND SINUS MEDICAL CENTER
Classification: Otolaryngology - 207YX0901X
Entity Type: Organization

Specialization: Otology & Neurotology

Address:
2577 SAMARITAN DR
845
SAN JOSE, CA
ZIP 95124
Phone: (408) 358-8507
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SAN JOSE EAR AND SINUS MEDICAL CENTER is an otology and neurotology otolaryngology in San Jose, CA. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. SAN JOSE EAR AND SINUS MEDICAL CENTER NPI is 1942497763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2577 SAMARITAN DR
845
SAN JOSE, CA
ZIP 95124-100
Phone: (408) 358-8507
Fax: (408) 358-8506

The provider's authorized official is Azar Daryaee Sajjadi .
The authorized official title is Office Manager and has the following contact phone number (408) 358-8507.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 9/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0901XOtolaryngologyOtology & NeurotologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ24863ZMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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