<Unavail>

LBN: Executive Endoscopy, Inc
<Unavail> is an health care organization with primary practice located at 2100 Forest Ave 109, San Jose CA 95128-1422. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Executive Endoscopy, Inc can be contacted via phone (408) 297-2314, or through Rivera, Maribel via phone (408) 297-2314.

Contact Information

Primary practice address
2100 Forest Ave 109 San Jose CA 95128-1422
Phone: (408) 297-2314
Fax: (408) 297-2414
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Maribel
Phone: (408) 297-2314

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X California

Profile Details

NPI number 1194712109
LBN Legal business name Executive Endoscopy, Inc
DBA Doing business as <Unavail>
Authorized official Rivera, Maribel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194712109 NPPES
California MEDICAID SUR01553F

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