MEDIXPARTNERS.COM A PROFESSIONAL MEDICAL CORPORATION NPI 1023317799

NPI Information

NPI: 1023317799
Provider Name: MEDIXPARTNERS.COM, A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: VIVA WELLNESS MEDICAL GROUP

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3740 ROSECRANS ST
SUITE C
SAN DIEGO, CA
ZIP 92110
Phone: (619) 222-5433
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MEDIXPARTNERS.COM, A PROFESSIONAL MEDICAL CORPORATION is a primary care clinic center in San Diego, CA. MEDIXPARTNERS.COM, A PROFESSIONAL MEDICAL CORPORATION NPI is 1023317799. The provider is registered as an organization entity type.
The provider Is Doing Business As Viva Wellness Medical Group.

The provider's business location address is:

3740 ROSECRANS ST
SUITE C
SAN DIEGO, CA
ZIP 92110-126
Phone: (619) 222-5433

The provider's authorized official is Eugene Michael Tachuk .
The authorized official title is President and has the following contact phone number (619) 222-5433.

The enumeration date for this NPI number is 3/21/2011 and was last updated on 3/21/2011.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A36884	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A84919	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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