Organization
PET IMAGING OF SAN JOSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIJAN FARHANGUI (CEO, PRESIDENT)
(408) 297-8844
Entity
Organization
Contact information
Practice address
2211 MOORPARK AVE, SUITE 220, SAN JOSE, CA 95128-2654
(408) 297-8844
(408) 297-8220
Mailing address
2211 MOORPARK AVE, SUITE 220, SAN JOSE, CA 95128-2654
(408) 297-8844
(408) 297-8220
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
305R00000X
Preferred Provider Organization
Primary
6846-43
CA
Other
Enumeration date
02/07/2007
Last updated
04/24/2020
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