Advanced Laser Center

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

G77619 Issued in CA

Legal business name

ADVANCED LASER CENTER

Practice address

350 S Winchester Blvd
Suite 250
San Jose, CA 95128-2092

Phone

(408) 296-0102

Fax

(408) 296-1795

NPI assigned

Mar 2, 2010

Last updated

Mar 2, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

GREGORY HUAN PHAN MDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Huan Phan, MD

Title

Sole Proprietor

Phone

(408) 296-0103

Specialties & licenses 1

Addresses

Part of

Advanced Laser Center

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Huan Ngoc Phan

  • Ophthalmology Physician
  • Cupertino, CA
  • NPI 1841208352
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1942523139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S WINCHESTER BLVD",
            "address_2": "SUITE 250",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282092",
            "telephone_number": "408-296-0103",
            "fax_number": "408-296-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S WINCHESTER BLVD",
            "address_2": "SUITE 250",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282092",
            "telephone_number": "408-296-0102",
            "fax_number": "408-296-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LASER CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREGORY HUAN PHAN MD",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "HUAN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "408-296-0103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "G77619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced DME LLC
• Advanced Ep Diagnostics, Inc.
• Advanced Eye Associates
• Advanced Eye Associates
• Advanced Imaging of Tracy LLC
• Advanced Medical Center Inc
• Advanced Respiratory and Sleep (Sleep Well Medical Clinic)
• Advanced Respiratory and Sleep Medicine (Sleep Well Medical Clinic)
• Advanced Surgery Medical Center, LLC
• Advanced Surgical Associates

• Ophthalmologic Surgery Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.