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Organization

SOUTH VALLEY SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNAH HUONG THI LE (ACCOUNT DIRECTOR)
(408) 440-2359
Entity
Organization

Contact information

Practice address
312 VISCAINO WAY, SAN JOSE, CA 95119-1630
(408) 440-2359
(408) 677-4941
Mailing address
1075 TULLY RD STE A2, SAN JOSE, CA 95122-4237
(408) 440-2359
(408) 677-4341

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
CA
208600000X
Surgery Physician
CA
363A00000X
Physician Assistant
CA
363AS0400X
Surgical Physician Assistant
Primary
CA

Other

Enumeration date
06/03/2011
Last updated
11/29/2021
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