Individual
MR. VIJAY TRISAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E DUARTE RD, DUARTE, CA 91010
(626) 359-8111
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A78977
CA
2086X0206X
Surgical Oncology Physician
Primary
A78977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A789770
—
CA
Enumeration date
09/15/2006
Last updated
04/19/2022
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