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Organization
PET IMAGING OF SAN JOSE, LLC
Active
Organization
PET IMAGING OF SAN JOSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIJAN FARHANGUI (CEO, PRESIDENT)
(408) 297-8844
Entity
Organization
Contact information
Practice address
2211 MOORPARK AVE, SUITE 220, SAN JOSE, CA 95128-2654
(408) 297-8844
(408) 297-8220
Mailing address
2211 MOORPARK AVE, SUITE 220, SAN JOSE, CA 95128-2654
(408) 297-8844
(408) 297-8220
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
305R00000X
Preferred Provider Organization
Primary
6846-43
CA
Other
Enumeration date
02/07/2007
Last updated
04/24/2020
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