OrganizationActive
Advanced Laser Center
NPI 1942523139 · Ophthalmologic Surgery Clinic/Center · San Jose, CA
Provider details
- NPI number
- 1942523139
- Entity type
- Organization
- Primary specialty
- Ophthalmologic Surgery Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Gregory Huan Phan MD
- Organization subpart
- Yes
- Authorized official
- Gregory Phan, Sole Proprietor(408) 296-0103
- License
- G77619 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
350 S Winchester Blvd
Suite 250
San Jose, CA 95128-2092
Phone: (408) 296-0102
Fax: (408) 296-1795
Approximate (ZIP-level) locationGet directions
Mailing address
350 S Winchester Blvd
San Jose, CA 95128-2092
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2010-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.