VIVIAN MARY REZNIK M.D. NPI 1770654535

NPI Information

NPI: 1770654535
Provider Name: VIVIAN MARY REZNIK, M.D.
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

Address:
8001 FROST ST
ENTRANCE 10
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-8052
Get Directions

Vivian Mary Reznik, M.D. is a pediatric nephrology pediatrics in San Diego, CA. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Vivian Mary Reznik, M.D. NPI is 1770654535. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8001 FROST ST
ENTRANCE 10
SAN DIEGO, CA
ZIP 92123-746
Phone: (858) 966-8052

The enumeration date for this NPI number is 11/13/2006 and was last updated on 9/7/2011.

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	208000000X	Pediatrics		G36058	CALIFORNIA	No
2	2080P0210X	Pediatrics	Pediatric Nephrology	G36058	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G360580	MEDICAID	CALIFORNIA

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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