Organization
BLUE SKY SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY PHAN (OWNER)
(650) 935-4745
Entity
Organization
Contact information
Practice address
2951 WALL ST, SAN JOSE, CA 95111-4600
(408) 603-6553
Mailing address
2951 WALL ST, SAN JOSE, CA 95111-4600
(650) 935-4745
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
06/27/2025
Last updated
11/15/2025
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