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KRISTEN VIERREGGER NPI 1376912287


NPI Information

NPI: 1376912287
Provider Name: KRISTEN VIERREGGER

Doing Business As: METAMORPHOSIS MEDICAL CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
8081 STANTON AVE
BUENA PARK, CA
ZIP 90620
Phone: (714) 484-8000
Get Directions

KRISTEN VIERREGGER is a clinic center in Buena Park, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KRISTEN VIERREGGER NPI is 1376912287. The provider is registered as an organization entity type.
The provider Is Doing Business As Metamorphosis Medical Center.

The provider's business location address is:

8081 STANTON AVE
BUENA PARK, CA
ZIP 90620-237
Phone: (714) 484-8000
Fax: (714) 484-8800

The provider's authorized official is Kristen Sue Vierregger .
The authorized official title is Owner and has the following contact phone number (714) 484-8000.

The enumeration date for this NPI number is 9/21/2015 and was last updated on 9/21/2015.


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
1261Q00000XClinic/CenterA112427CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11447699582MEDICARE UPINCALIFORNIA

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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