Organization
NORTHERN CALIFORNIA KIDNEY STONE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLI MOAYED MD (PRESIDENT)
(408) 358-2805
Entity
Organization
Contact information
Practice address
16400 LARK AVE, STE 100, LAS GATOS, CA 95032
(408) 358-2805
(408) 358-2810
Mailing address
16400 LARK AVE, STE 100, LAS GATOS, CA 95032
(408) 358-2805
(408) 358-2810
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/11/2008
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