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EXECUTIVE ENDOSCOPY, INC

Surgery Yellow Pages

San Jose, California

Provider NPI: 1194712109

Organization Information:
Organization Name:  EXECUTIVE ENDOSCOPY, INC


Practice Location:
2100 FOREST AVE 109 SAN JOSE, CA 95128 US
Tel: 408-297-2314  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
CA

Other Provider Identifiers:

IssuerNumberStateType
SUR01553FCA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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