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Organization

TRI-VALLEY SURGEY, A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL SEUNGHWAN OH MD (PRESIDENT)
(951) 894-2620
Entity
Organization

Contact information

Practice address
36243 INLAND VALLEY DR STE 40, WILDOMAR, CA 92595-9547
(951) 894-2620
(951) 894-2622
Mailing address
36243 INLAND VALLEY DR STE 40, WILDOMAR, CA 92595-9547
(951) 894-2620
(951) 894-2622

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A86585
CA

Other

Enumeration date
04/11/2007
Last updated
08/22/2020
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