Organization
ASSIST SURGERY JOHN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLORENCIO A MEDINA RNFA (OWNER)
(408) 984-2455
Entity
Organization
Contact information
Practice address
2110 FOREST AVE, SAN JOSE, CA 95128-1469
(408) 834-3348
Mailing address
32108 ALVARADO BLVD # 285, UNION CITY, CA 94587-4000
(408) 834-3348
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
05/27/2010
Last updated
10/16/2019
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