| Vida Vibrante Transitional Care Group Inc | |
|
2036 Snowbird Dr Lodi CA 95242-4754 | |
| (209) 662-3856 | |
| Not Available |
| Full Name | Vida Vibrante Transitional Care Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 2036 Snowbird Dr, Lodi, California |
| Authorized Official Name and Position | Min Min Hlaing (PRESIDENT) |
| Authorized Official Contact | 2096623856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Vibrante Transitional Care Group Inc 2036 Snowbird Dr Lodi CA 95242-4754 Ph: (209) 662-3856 | Vida Vibrante Transitional Care Group Inc 2036 Snowbird Dr Lodi CA 95242-4754 Ph: (209) 662-3856 |
| NPI Number | 1891171526 |
|---|---|
| Provider Enumeration Date | 08/05/2015 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891171526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A104774 (California) | Primary |
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