Organization
SOUTH BAY ENDOSCOPY CENTER A MEDICAL CORPORATION
Active
Organization
SOUTH BAY ENDOSCOPY CENTER A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA M VIEIRA R.N. (ADMINISTRATIVE/TECHNICAL COORDINATO)
(408) 595-7302
Entity
Organization
Contact information
Practice address
455 OCONNOR DR, SUITE 340, SAN JOSE, CA 95128-1633
(408) 283-3715
(408) 283-3718
Mailing address
455 OCONNOR DR, SUITE 340, SAN JOSE, CA 95128-1633
(408) 283-3715
(408) 283-3718
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
070000447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01394G
—
CA
Enumeration date
07/07/2006
Last updated
01/21/2013
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