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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

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

NPI # 1477693513
LBN Legal business name PET IMAGING OF SAN JOSE, LLC
Authorized official BIJAN FARHANGUI - (CEO, PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2007
Last updated 04/24/2020 - About 6 years ago
Identifiers
CA License # 6846-43
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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