# SAN JOSE EYE INSTITUTE MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1922146190
- **Authorized official:** GEORGE YANG MD (PRESIDENT)
- **Authorized official phone:** (408) 279-4664

## Contact information

- **Practice address:** 123 DI SALVO AVE, SUITE 20, SAN JOSE, CA 95128-1717
- **Practice address phone:** (408) 279-4664
- **Practice address fax:** (408) 279-0464
- **Mailing address:** 123 DI SALVO AVE, SUITE 20, SAN JOSE, CA 95128-1717
- **Mailing address phone:** (408) 279-4664
- **Mailing address fax:** (408) 279-0464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A55047 | CA | Yes |
| 207W00000X | Ophthalmology Physician | G112660 | CA | — |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 12/17/2019