Organization
SAN JOSE EYE INSTITUTE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE YANG MD (PRESIDENT)
(408) 279-4664
Entity
Organization
Contact information
Practice address
123 DI SALVO AVE, SUITE 20, SAN JOSE, CA 95128-1717
(408) 279-4664
(408) 279-0464
Mailing address
123 DI SALVO AVE, SUITE 20, SAN JOSE, CA 95128-1717
(408) 279-4664
(408) 279-0464
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A55047
CA
207W00000X
Ophthalmology Physician
G112660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CY0151
MEDICARE RAILROAD
CA
Enumeration date
02/01/2007
Last updated
12/17/2019
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