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PET IMAGING OF SAN JOSE LLC NPI 1629187695


NPI Information

NPI: 1629187695
Provider Name: PET IMAGING OF SAN JOSE, LLC
Classification: Specialist - 174400000X
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 specialist in San Jose, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PET IMAGING OF SAN JOSE, LLC NPI is 1629187695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2211 MOORPARK AVE.
SUITE 220
SAN JOSE, CA
ZIP 95128-632
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 8/30/2006 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
1174400000XSpecialist6846-43CALIFORNIAYes

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: 4/28/2024

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