# ADVANCED INTERVENTIONAL SURGICAL CENTER

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

## Provider details

- **NPI number:** 1912416199
- **Authorized official:** DR. ASHIT JAIN M.D. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (510) 796-0222

## Contact information

- **Practice address:** 3077 STEVENSON BLVD, FREMONT, CA 94538
- **Practice address phone:** (510) 796-0222
- **Mailing address:** 2333 MOWRY AVENUE, SUITE 300, FREMONT, CA 94538-1626
- **Mailing address phone:** (510) 796-0222
- **Mailing address fax:** (510) 796-7760

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 08/08/2018