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Organization

SAN JOSE IMAGING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRISCILLA GARCIA (OFFICE MANAGER)
(408) 985-6334
Entity
Organization

Contact information

Practice address
361 SOUTH MONROE ST, SAN JOSE, CA 95128
(408) 556-1500
(408) 985-6349
Mailing address
361 SOUTH MONROE ST, SAN JOSE, CA 95128
(408) 556-1500
(408) 985-6349

Taxonomy

Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ33510Z
BLUE SHIELD OF CA
CA
Enumeration date
07/08/2006
Last updated
08/22/2020
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