Healthcare Provider Details

I. General information

NPI: 1013027150
Provider Name (Legal Business Name): ADVANCED SURGICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 10/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 JOSE FIGUERES AVE SUITE 225
SAN JOSE CA
95116-1500
US

IV. Provider business mailing address

200 JOSE FIGUERES AVE SUITE 225
SAN JOSE CA
95116-1500
US

V. Phone/Fax

Practice location:
  • Phone: 408-929-5610
  • Fax: 408-929-5215
Mailing address:
  • Phone: 408-929-5610
  • Fax: 408-929-5215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUY T T NGUYEN
Title or Position: PRESIDENT
Credential: D.O.
Phone: 408-929-5610