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Organization
PEDIATRIC SURGICAL ASSOCIATES INC A MEDICAL CORPORATION
Active
Organization
PEDIATRIC SURGICAL ASSOCIATES INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINH LAM MD (VICE PRESIDENT)
(714) 361-4480
Entity
Organization
Contact information
Practice address
396 S MAIN ST STE 200, ORANGE, CA 92868-3845
(714) 361-4480
(714) 361-4490
Mailing address
396 S MAIN ST STE 200, ORANGE, CA 92868-3845
(714) 361-4480
(714) 361-4490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
03/19/2020
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