Organization
ADVANCED SURGERY MEDICAL CENTER, LLC
Active
Organization
ADVANCED SURGERY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL T PHAM M.D. (MEDICAL DIRECTOR)
(408) 998-8109
Entity
Organization
Contact information
Practice address
989 STORY RD, 8066, SAN JOSE, CA 95122-4603
(408) 998-8109
(408) 295-1205
Mailing address
989 STORY RD, 8066, SAN JOSE, CA 95122-4603
(408) 998-8109
(408) 295-1205
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
06/30/2014
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