Organization
AESTHETIC AND REFRACTIVE SURGERY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL T PHAM M.D. (MEDICAL DIRECTOR)
(408) 998-0166
Entity
Organization
Contact information
Practice address
455 OCONNOR DR, SUITE 180B, SAN JOSE, CA 95128-1633
(408) 998-8109
(408) 998-1884
Mailing address
455 OCONNOR DR, SUITE 180B, SAN JOSE, CA 95128-1633
(408) 998-8109
(408) 998-1884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G071297
CA
Other
Enumeration date
10/02/2006
Last updated
06/30/2014
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