Organization · Type 2 NPI
East Side Surgical LLC
Surgical Physician Assistant · Los Gatos, CA
NPI number
1881290104
Active
Practice location
815 Pollard Rd
Los Gatos, CA 95032-1438
Mailing address
3474 Noble Ave
San Jose, CA 95132-3132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1881290104
East Side Surgical LLC's National Provider Identifier is 1881290104, issued on Dec 10, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Gatos, CA. The record was last updated on Jan 18, 2021.