Organization
BARIATRIC CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC H PHAM MD (VICE PRESIDENT)
(714) 541-4343
Entity
Organization
Contact information
Practice address
1140 W LA VETA AVE STE 760, ORANGE, CA 92868-4229
(714) 541-4343
Mailing address
1140 W LA VETA AVE STE 760, ORANGE, CA 92868-4229
(714) 541-4343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A78248
CA
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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