Organization
ADVANCED EP DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD RUSTAMZADEH M.D. (PRESIDENT)
(650) 319-5559
Entity
Organization
Contact information
Practice address
2550 SAMARITAN DR STE D, SAN JOSE, CA 95124-4104
(408) 540-6861
(408) 540-6865
Mailing address
2550 SAMARITAN DR STE D, SAN JOSE, CA 95124-4104
(408) 540-6861
(408) 540-6865
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
CA
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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