Organization · Type 2 NPI

Executive Endoscopy, Inc.

Ambulatory Surgical Clinic/Center · San Jose, CA

NPI number 1598815110 Active

Practice location

2100 Forest Ave, Suite 109
San Jose, CA 95128

Call (408) 297-2314 Map

Fax (408) 297-2414

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X070000639 (CA)
Endoscopy Clinic/Center 261QE0800XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1598815110

Executive Endoscopy, Inc.'s National Provider Identifier is 1598815110, issued on Jan 12, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in San Jose, CA. The record was last updated on Aug 15, 2008.