Organization
EAST SIDE SURGICAL LLC
Active
Organization
EAST SIDE SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIANE M LE-MAHON PA-C (PHYSICIAN ASSISTANT)
(408) 202-5064
Entity
Organization
Contact information
Practice address
815 POLLARD RD, LOS GATOS, CA 95032-1438
(408) 378-6131
Mailing address
3474 NOBLE AVE, SAN JOSE, CA 95132-3132
(408) 857-9231
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
01/18/2021
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