VIDA FAMILY PRACTICE PC NPI 1245549443

NPI Information

NPI: 1245549443
Provider Name: VIDA FAMILY PRACTICE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2022822

Address:
435 ARDEN AVE
SUITE # 330
GLENDALE, CA
ZIP 91203
Phone: (818) 548-8001
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VIDA FAMILY PRACTICE PC is a primary care clinic center in Glendale, CA. VIDA FAMILY PRACTICE PC NPI is 1245549443. The provider is registered as an organization entity type.

The provider's business location address is:

435 ARDEN AVE
SUITE # 330
GLENDALE, CA
ZIP 91203-016
Phone: (818) 548-8001

The provider's authorized official is Vigen Vick Abovian .
The authorized official title is Medical Director/president and has the following contact phone number (818) 588-8178.

The CLIA number assigned to this NPI record is 05D2022822 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2010 and was last updated on 2/7/2014.

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	A106757	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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