VIRTUAL REALITY MEDICAL CENTER NPI 1659453769

NPI Information

  • NPI: 1659453769
  • Provider Name: VIRTUAL REALITY MEDICAL CENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 6160 CORNERSTONE COURT EAST
    STE 155
    SAN DIEGO, CA
    ZIP 92121
  • Phone: (858) 642-0267

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NPI Details

VIRTUAL REALITY MEDICAL CENTER is a clinic center in San Diego, 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). VIRTUAL REALITY MEDICAL CENTER NPI is 1659453769. The provider is registered as an organization entity type.

The provider's business location address is:

6160 CORNERSTONE COURT EAST
STE 155
SAN DIEGO, CA
ZIP 92121
Phone: (858) 642-0267
Fax: (858) 642-0285

The provider's authorized official is Mark Wiederhold .
The authorized official title is President and has the following contact phone number (858) 642-0267.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.

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
1261Q00000XClinic/CenterG66151CALIFORNIAYes

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: 3/30/2025

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