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Organization
PAIN REHAB CARE MEDICAL CLINIC, INC
Active
Organization
PAIN REHAB CARE MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUYEN NGOC NGO MD (PRESIDENT)
(408) 258-3229
Entity
Organization
Contact information
Practice address
1865 ALUM ROCK AVE, SUITE A, SAN JOSE, CA 95116-1396
(408) 258-3229
Mailing address
1865 ALUM ROCK AVE, SUITE A, SAN JOSE, CA 95116-1396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A460240
CA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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