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PET IMAGING OF SAN JOSE LLC NPI 1477693513


NPI Information

NPI: 1477693513
Provider Name: PET IMAGING OF SAN JOSE, LLC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2211 MOORPARK AVE
SUITE 220
SAN JOSE, CA
ZIP 95128
Phone: (408) 297-8844
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PET IMAGING OF SAN JOSE, LLC is a preferred provider organization in San Jose, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PET IMAGING OF SAN JOSE, LLC NPI is 1477693513. The provider is registered as an organization entity type.

The provider's business location address is:

2211 MOORPARK AVE
SUITE 220
SAN JOSE, CA
ZIP 95128-654
Phone: (408) 297-8844
Fax: (408) 297-8220

The provider's authorized official is Bijan Farhangui .
The authorized official title is Ceo, President and has the following contact phone number (408) 297-8844.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 4/24/2020.


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
1261QR0200XClinic/CenterRadiologyNo
2305R00000XPreferred Provider Organization6846-43CALIFORNIAYes

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: 11/14/2023

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