Organization
PHYSICIANS SURGERY SERVICES LLC
Active
Other names
Advanced Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
235 OCONNOR DR, SAN JOSE, CA 95128-1624
(408) 279-0791
(408) 279-0797
Mailing address
235 OCONNOR DR, SAN JOSE, CA 95128-1624
(408) 279-0791
(408) 279-0797
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05C0001723
—
CA
05
—
SUR01723F
—
CA
Enumeration date
10/27/2006
Last updated
03/06/2025
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