ADVANCED SURGERY MEDICAL CENTER LLC NPI 1821181488

NPI Information

NPI: 1821181488
Provider Name: ADVANCED SURGERY MEDICAL CENTER, LLC
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
989 STORY RD
8066
SAN JOSE, CA
ZIP 95122
Phone: (408) 998-8109
Get Directions

ADVANCED SURGERY MEDICAL CENTER, LLC is an ophthalmologic surgery clinic center in San Jose, CA. ADVANCED SURGERY MEDICAL CENTER, LLC NPI is 1821181488. The provider is registered as an organization entity type.

The provider's business location address is:

989 STORY RD
8066
SAN JOSE, CA
ZIP 95122-603
Phone: (408) 998-8109
Fax: (408) 295-1205

The provider's authorized official is Randal T Pham .
The authorized official title is Medical Director and has the following contact phone number (408) 998-8109.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 6/30/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery			Yes

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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