TRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR NPI 1851617278

NPI Information

TRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR is a plastic and reconstructive surgery surgery in Dublin, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. TRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR NPI is 1851617278. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11820 DUBLIN BLVD
DUBLIN, CA
ZIP 94568-830
Phone: (925) 875-0700
Fax: (925) 875-0576

The provider's authorized official is Beau Ascarrunz .
The authorized official title is Practice Administrator and has the following contact phone number (925) 875-0700.

The enumeration date for this NPI number is 4/9/2010 and was last updated on 2/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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