Organization
ALESIA PAIN TREATMENT CENTER, A MEDICAL GROUP, INC.
Active
Other names
Peninsula Pain Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON TRUONG WYNN D.O. (MEDICAL DIRECTOR)
(408) 368-1889
Entity
Organization
Contact information
Practice address
2450 EL CAMINO REAL, SUITE 100 B, PALO ALTO, CA 94306-1706
(650) 493-7246
(650) 493-7248
Mailing address
2450 EL CAMINO REAL, SUITE 100 B, PALO ALTO, CA 94306-1706
(650) 493-7246
(650) 493-7248
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20A9059
CA
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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