Organization
SOUTH VALLEY SURGICAL ASSOCIATES
Active
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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