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Aj Physician Assistant Professional Corporation

Physician Assistant in San Jose, CA. Organization (NPI-2).

NPI number1447057526
StatusActive
Last updated in NPPESApr 11, 2025

Details

NPI
1447057526
Entity type
Organization (NPI-2)
Legal business name
Aj Physician Assistant Professional Corporation
Organization subpart
No
Enumeration date
Feb 26, 2025
Certification date
Apr 11, 2025
Last updated
Apr 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes
363AS0400X Physician Assistant, Surgical––

Practice location

1617 The Strand Ave
San Jose, CA 95120-3857

Phone 408-627-1126

Mailing address

1617 The Strand Ave
San Jose, CA 95120-3857

Authorized official

Amanda Jensen
Owner/Employee
4086271126

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