Executive Endoscopy, Inc in San Jose - Ambulatory Surgical

Executive Endoscopy, Inc - NPI 1194712109

Executive Endoscopy, Inc is a Ambulatory Surgical in San Jose, California. Executive Endoscopy, Inc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Executive Endoscopy, Inc is 1194712109. The last update date is 2020-08-22.

Executive Endoscopy, Inc's current location address is 2100 Forest Ave, San Jose, California. You can contact this provider via phone number 4082972314 and fax number 4082972414. The mailing address for Executive Endoscopy, Inc is 2100 Forest Ave, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Executive Endoscopy, Inc
Address 2100 Forest Ave, San Jose, California
Phone Number 4082972314
Fax Number 4082972414
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Rivera Maribel
Telephone Number 4082972314

NPI Number Detail

NPI Number 1194712109
Provider Enumeration Date 2005-10-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2100 Forest Ave
City San Jose
State California (CA)
Post Code 951281422
Phone Number 4082972314
Fax Number 4082972414

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SUR01553F CA --

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FAQs about Executive Endoscopy, Inc

What is the unique identification code assigned to Executive Endoscopy, Inc by the Centers for Medicare & Medicaid Services?

The Executive Endoscopy, Inc has been issued the NPI (National Provider Identifier) 1194712109. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Executive Endoscopy, Inc's facilities are geographically located?

The facilities of Executive Endoscopy, Inc are physically situated at the following location: 2100 Forest Ave, San Jose, CA, 951281422.

What is Executive Endoscopy, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Executive Endoscopy, Inc's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.

When did the Executive Endoscopy, Inc receive its 1194712109?

The Executive Endoscopy, Inc was issued its 1194712109 on 2005-10-04, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Executive Endoscopy, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Executive Endoscopy, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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