Executive Endoscopy, Inc. in San Jose - Ambulatory Surgical
Executive Endoscopy, Inc. - NPI 1598815110
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 1598815110. The last update date is 2008-08-15.
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 | CLINIC DIR |
|---|---|
| Authorized Official Name | Tam K. Felix |
| Credentials | M.D. |
| Telephone Number | 4082972314 |
NPI Number Detail
| NPI Number | 1598815110 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2008-08-15 |
Provider Mailing Address Detail
| Address | 2100 Forest Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 95128 |
| Phone Number | 4082972314 |
| Fax Number | 4082972414 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 70000639 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SUR01553F | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Executive Endoscopy, Inc. by the Centers for Medicare & Medicaid Services?
The Executive Endoscopy, Inc. has been assigned the NPI (National Provider Identifier) 1598815110. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Executive Endoscopy, Inc. is physically located?
The Executive Endoscopy, Inc. is situated at the following address: 2100 Forest Ave, San Jose, CA 95128.
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.
On what date did the Centers for Medicare & Medicaid Services issue the 1598815110 to Executive Endoscopy, Inc.?
The Executive Endoscopy, Inc. received its 1598815110 assignment from the Centers for Medicare & Medicaid Services on 2007-01-12.
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 2008-08-15.