Vista Healthcare, Llc

NPI 1083810790 - Point of Service - 305S00000X

NPI Details
NPI 1083810790
Enumeration Date 06/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARC C MARC
Position SENIOR VICE PRESIDENT
Phone (909) 581-7272
Fax (909) 581-7277
Practice Location
10841 WHITE OAK AVE
SUITE 205
RANCHO CUCAMONGA CA, 91730-3811, US
Phone (909) 581-7272
Fax (909) 581-7277
Business Location
10841 WHITE OAK AVE
SUITE 205
RANCHO CUCAMONGA CA, 91730-3811, US
Phone (909) 581-7272
Fax (909) 581-7277
Toxanomy
Taxonomy Code 305S00000X
License State
License Number
Remove 1083810790 NPI Number
 

According to our database, Vista Healthcare, Llc NPI is 1083810790, taxonomy code is 305S00000X Vista Healthcare, Llc physically located at 10841 White Oak Ave, Rancho Cucamonga CA, 91730-3811. NPI Number 1033115704 has the healthcare provider type.

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1083810790 NPI number is provided on an as is basis without warranty of any kind. 1083810790 is maintained by the National Plan & Provider Enumeration System. The contents of Vista Healthcare, Llc are for informational purposes only.