Provider Demographics
NPI:1093551343
Name:ALKIMIYA SURGICAL SYSTEMS PC
Entity type:Organization
Organization Name:ALKIMIYA SURGICAL SYSTEMS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAN MATEO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-939-0928
Mailing Address - Street 1:455 OCONNOR DR STE 270
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1644
Mailing Address - Country:US
Mailing Address - Phone:415-939-0928
Mailing Address - Fax:
Practice Address - Street 1:455 OCONNOR DR STE 270
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1644
Practice Address - Country:US
Practice Address - Phone:415-939-0928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-06
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty