Pediatric Surgical Associates INC a Medical Corporation

NPI #1073703245 in Orange, California

Provider Information

NPI Number: 1073703245
Entity Type: Organization
Organization Name: Pediatric Surgical Associates INC a Medical Corporation
Primary Specialty: Specialist
Enumeration Date: Jul 25, 2007
Last Updated: Mar 19, 2020

Practice Location

Address: 396 S MAIN ST STE 200
City: Orange
State: California
ZIP Code: 92868-3845
Phone: (714) 361-4480

Authorized Official

Name: VINH LAM, MD
Title: VICE PRESIDENT
Phone: (714) 361-4480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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