| Vida Medical Center, Inc | |
|
16127 Foothill Blvd Fontana CA 92335-3374 | |
| (909) 429-8000 | |
| (909) 429-8705 |
| Full Name | Vida Medical Center, Inc |
|---|---|
| Speciality | General Practice |
| Location | 16127 Foothill Blvd, Fontana, California |
| Authorized Official Name and Position | Armen Yeghia Nerseccian (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9094298000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Medical Center, Inc 16127 Foothill Blvd Fontana CA 92335-3374 Ph: (909) 429-8000 | Vida Medical Center, Inc 16127 Foothill Blvd Fontana CA 92335-3374 Ph: (909) 429-8000 |
| NPI Number | 1629205422 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 10/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629205422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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