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SAN JOSE MEDICAL MANAGEMENT INC. NPI 1073699609


NPI Information

NPI: 1073699609
Provider Name: SAN JOSE MEDICAL MANAGEMENT, INC.

Doing Business As: SAN JOSE MEDICAL GROUP ENDOSCOPY SUITE

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
2585 SAMARITAN DR
SAN JOSE, CA
ZIP 95124
Phone: (408) 357-1020
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SAN JOSE MEDICAL MANAGEMENT, INC. is an endoscopy clinic center in San Jose, CA. SAN JOSE MEDICAL MANAGEMENT, INC. NPI is 1073699609. The provider is registered as an organization entity type.
The provider Is Doing Business As San Jose Medical Group Endoscopy Suite.

The provider's business location address is:

2585 SAMARITAN DR
SAN JOSE, CA
ZIP 95124-107
Phone: (408) 357-1020
Fax: (408) 357-1298

The provider's authorized official is Ernie Angel Wallerstein .
The authorized official title is C.e.o. and has the following contact phone number (408) 278-3015.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/22/2020.


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
1261QE0800XClinic/CenterEndoscopyCALIFORNIAYes

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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