Organization · Type 2 NPI
South Valley Surgical Associates
Surgical Physician Assistant · San Jose, CA
NPI number
1801180104
Active
Practice location
312 Viscaino Way
San Jose, CA 95119-1630
Fax (408) 677-4941
Mailing address
1075 Tully Rd Ste A2
San Jose, CA 95122-4237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | None listed |
| Surgery Physician | 208600000X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1801180104
South Valley Surgical Associates's National Provider Identifier is 1801180104, issued on Jun 3, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Jose, CA. The record was last updated on Nov 29, 2021.