Endoscopy Center Of San Jose
LBN: Executive Endoscopy, Inc.
Endoscopy Center Of San Jose is an health care organization with primary practice located at 2100 Forest Ave Suite 109, San Jose CA 95128. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Endoscopy. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Executive Endoscopy, Inc. can be contacted via phone (408) 297-2314, or through Tam, Felix K. via phone (408) 297-2314.
Contact Information
Primary practice address
2100 Forest Ave Suite 109
San Jose CA 95128
Phone: (408) 297-2314
Fax: (408) 297-2414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 070000639 | California |
| Ambulatory Health Care Facilities / Endoscopy | 261QE0800X | California |
Profile Details
| NPI number | 1598815110 |
|---|---|
| LBN Legal business name | Executive Endoscopy, Inc. |
| DBA Doing business as | Endoscopy Center Of San Jose |
| Authorized official | Tam, Felix K. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Aug 15th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598815110 | NPPES |
| California | MEDICAID | SUR01553F |
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