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Organization
EV SURGERY INSTITUTE LLC
Active
Organization
EV SURGERY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA LEE ROTH REGISTERED NURSE (VP OF CLINICAL OPERATIONS)
(408) 761-5847
Entity
Organization
Contact information
Practice address
105 N BASCOM AVE STE 103, SAN JOSE, CA 95128-1811
(408) 761-5847
Mailing address
4215 HAMILTON AVE, SAN JOSE, CA 95130-1462
(408) 761-5847
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/18/2020
Last updated
03/11/2023
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