| NPI | 1982763181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER T TRUONG President 559-434-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G71046) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |