Organization
EV SURGERY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA LEE ROTH REGISTERED NURSE (VP OF CLINICAL OPERATIONS)
(408) 761-5847
Entity
Organization
Contact information
Practice address
105 N BASCOM AVE STE 103, SAN JOSE, CA 95128-1811
(408) 761-5847
Mailing address
4215 HAMILTON AVE, SAN JOSE, CA 95130-1462
(408) 761-5847
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
03/11/2023
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