Viva Family Medical Center, Inc

NPI 1801216361 - Family Medicine - 207Q00000X

NPI Details
NPI 1801216361
Enumeration Date 04/23/2014
Last Updated 04/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name STEVEN STEVEN
Position CEO
Phone (310) 871-3434
Fax
Practice Location
2010 WILSHIRE BLVD
506
LOS ANGELES CA, 90057-3507, US
Phone (310) 871-3434
Fax
Business Location
22337 PACIFIC COAST HWY
441
MALIBU CA, 90265, US
Phone (310) 871-3434
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G29768
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According to our database, Viva Family Medical Center, Inc NPI is 1801216361, taxonomy code is 207Q00000X and license number is G29768, license state is located at California. Viva Family Medical Center, Inc physically located at 2010 Wilshire Blvd, Los Angeles CA, 90057-3507. NPI Number 1033115704 has the healthcare provider type.

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1801216361 NPI number is provided on an as is basis without warranty of any kind. 1801216361 is maintained by the National Plan & Provider Enumeration System. The contents of Viva Family Medical Center, Inc are for informational purposes only.