| NPI | 1073699609 |
|---|---|
| Doing Business As | SAN JOSE MEDICAL GROUP ENDOSCOPY SUITE |
| Entity Type | Organization |
| Authorized Contact | ERNIE ANGEL WALLERSTEIN C.E.O. 408-278-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: CA 070000438) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |