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Organization

TUAN V TA MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TUAN V TA MD (PRESIDENT)
(714) 530-8042
Entity
Organization

Contact information

Practice address
12555 GARDEN GROVE BLVD, #405, GARDEN GROVE, CA 92843-1902
(714) 530-8042
(714) 530-4447
Mailing address
12555 GARDEN GROVE BLVD, #405, GARDEN GROVE, CA 92843-1902
(714) 530-8042
(714) 530-4447

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A99653
CA

Other

Enumeration date
01/27/2011
Last updated
04/01/2011
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