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ADVANCED EP DIAGNOSTICS INC. NPI 1144732397


NPI Information

NPI: 1144732397
Provider Name: ADVANCED EP DIAGNOSTICS, INC.
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Organization

Specialization: Electroneurodiagnostic

Address:
2550 SAMARITAN DR STE D
SAN JOSE, CA
ZIP 95124
Phone: (408) 540-6861
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ADVANCED EP DIAGNOSTICS, INC. is an electroneurodiagnostic specialist technologist other in San Jose, CA. ADVANCED EP DIAGNOSTICS, INC. NPI is 1144732397. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2550 SAMARITAN DR STE D
SAN JOSE, CA
ZIP 95124-104
Phone: (408) 540-6861
Fax: (408) 540-6865

The provider's authorized official is Edward Rustamzadeh .
The authorized official title is President and has the following contact phone number (650) 319-5559.

The enumeration date for this NPI number is 10/27/2017 and was last updated on 10/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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