National Provider Identifier Database

PET IMAGING OF SAN JOSE LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

PET IMAGING OF SAN JOSE, LLC
2211 MOORPARK AVE
SUITE 220
SAN JOSE, CA95128-2654
Phone: 408-297-8844
Fax: 408-297-8220
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X
Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for PET IMAGING OF SAN JOSE, LLC

NPI Number 1477693513
Legal business name
LBN
PET IMAGING OF SAN JOSE, LLC
Authorized official BIJAN FARHANGUI - (CEO, PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/07/2007
Last updated 04/24/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 6846-43

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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