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VIR INC. NPI 1114153582


NPI Information

NPI: 1114153582
Provider Name: VIR, INC.

Doing Business As: VALERIA KOZAK, M. D.

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2289531

Address:
14642 NEWPORT AVE
SUITE 410
TUSTIN, CA
ZIP 92780
Phone: (714) 838-0022
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VIR, INC. is a specialist in Tustin, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VIR, INC. NPI is 1114153582. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Valeria Kozak, M. D..

The provider's business location address is:

14642 NEWPORT AVE
SUITE 410
TUSTIN, CA
ZIP 92780-057
Phone: (714) 838-0022
Fax: (714) 838-0060

The provider's authorized official is Valeria Kozak .
The authorized official title is Owner and has the following contact phone number (714) 838-0022.

The CLIA number assigned to this NPI record is 05D2289531 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2009 and was last updated on 5/29/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA89502CALIFORNIAYes

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

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