# EV SURGERY INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538775267
- **Authorized official:** MS. BARBARA LEE ROTH REGISTERED NURSE (VP OF CLINICAL OPERATIONS)
- **Authorized official phone:** (408) 761-5847

## Contact information

- **Practice address:** 105 N BASCOM AVE STE 103, SAN JOSE, CA 95128-1811
- **Practice address phone:** (408) 761-5847
- **Mailing address:** 4215 HAMILTON AVE, SAN JOSE, CA 95130-1462
- **Mailing address phone:** (408) 761-5847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2020
- **Last updated:** 03/11/2023