| Vida Medical Of Delaware Pa | |
|
20500 Belshaw Ave # Exca1377 Carson CA 90746-3506 | |
| (415) 989-1017 | |
| Not Available |
| Full Name | Vida Medical Of Delaware Pa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 20500 Belshaw Ave # Exca1377, Carson, California |
| Authorized Official Name and Position | Jacqueline Odonnell (DIRECTOR, QA AND COMPLIANCE) |
| Authorized Official Contact | 4159891017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Medical Of Delaware Pa 20500 Belshaw Ave # Exca1377 Carson CA 90746-3506 Ph: () - | Vida Medical Of Delaware Pa 20500 Belshaw Ave # Exca1377 Carson CA 90746-3506 Ph: (415) 989-1017 |
| NPI Number | 1003656844 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 07/21/2024 |
| Certification Date | 07/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003656844 | NPI | - | NPPES |
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