Provider Demographics
NPI:1245564939
Name:ENDOSCOPY SURGICAL ASSISTANTS
Entity Type:Organization
Organization Name:ENDOSCOPY SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEZHAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-327-8778
Mailing Address - Street 1:900 WELCH RD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1805
Mailing Address - Country:US
Mailing Address - Phone:650-327-8778
Mailing Address - Fax:650-327-2794
Practice Address - Street 1:900 WELCH RD
Practice Address - Street 2:SUITE 403
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1805
Practice Address - Country:US
Practice Address - Phone:650-327-8778
Practice Address - Fax:650-327-2794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty