LA VITA REAL ESTATE LLC NPI 1740860014

NPI Information

NPI: 1740860014
Provider Name: LA VITA REAL ESTATE LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1001 B AVE STE 108
CORONADO, CA
ZIP 92118
Phone: (619) 490-5141
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LA VITA REAL ESTATE LLC is an ambulatory surgical clinic center in Coronado, CA. LA VITA REAL ESTATE LLC NPI is 1740860014. The provider is registered as an organization entity type.

The provider's business location address is:

1001 B AVE STE 108
CORONADO, CA
ZIP 92118-423
Phone: (619) 490-5141

The provider's authorized official is Moneer Jaibaji .
The authorized official title is Medical Director and has the following contact phone number (619) 490-5141.

The enumeration date for this NPI number is 4/12/2021 and was last updated on 4/12/2021.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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: 4/28/2024

NPI Synchronization or Removal

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