Organization
EMIL A ANAYA MD, INC. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMIL ALBERTO ANAYA M.D. (PRESIDENT OWNER)
(408) 258-8760
Entity
Organization
Contact information
Practice address
105 N BASCOM AVE, SUITE 104, SAN JOSE, CA 95128-1811
(408) 258-8760
(408) 258-8760
Mailing address
PO BOX 3133, SAN JOSE, CA 95156-3133
(408) 258-8760
(408) 258-3645
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A25810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811994445
INDIVIDUAL NPI
—
01
—
A25810
CALIFORNIA MEDICAL LICENS
CA
01
—
ZZZ06033Z
GROUP PTAN
CA
Enumeration date
03/15/2007
Last updated
09/18/2009
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