Organization
VASCULAR LAB OF SAN JOSE LP
Active
Other names
Silicon Valley Interventional Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (SR. VICE PRESIDENT)
(610) 644-8900
Entity
Organization
Contact information
Practice address
1174 CASTRO ST, SUITE 200, MOUNTAIN VIEW, CA 94040-2568
(713) 812-7586
Mailing address
1174 CASTRO ST, SUITE 200, MOUNTAIN VIEW, CA 94040-2568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
09/04/2014
Last updated
07/01/2021
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