Healthcare Provider Details

I. General information

NPI: 1841348190
Provider Name (Legal Business Name): APEX CARDIOLOGY OF SILICON VALLEY A MEDICAL PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 11/12/2020
Certification Date: 11/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 SAMARITAN DR SUITE 200
SAN JOSE CA
95124-3910
US

IV. Provider business mailing address

2400 SAMARITAN DR SUITE 200
SAN JOSE CA
95124-3910
US

V. Phone/Fax

Practice location:
  • Phone: 408-369-7500
  • Fax: 408-558-6940
Mailing address:
  • Phone: 408-369-7500
  • Fax: 408-558-6940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG26374
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG39529
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA78726
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA93963
License Number StateCA

VIII. Authorized Official

Name: ANDREW T KWA
Title or Position: PARTNER
Credential: MD
Phone: 408-369-7500