| Viva Wellness Medical Group | |
|
3740 Rosecrans St Suite C San Diego CA 92110-3126 | |
| (619) 222-5433 | |
| Not Available |
| Full Name | Viva Wellness Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3740 Rosecrans St, San Diego, California |
| Authorized Official Name and Position | Eugene Michael Tachuk (PRESIDENT) |
| Authorized Official Contact | 6192225433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viva Wellness Medical Group 3740 Rosecrans St Suite C San Diego CA 92110-3126 Ph: (619) 222-5433 | Viva Wellness Medical Group 3740 Rosecrans St Suite C San Diego CA 92110-3126 Ph: (619) 222-5433 |
| NPI Number | 1023317799 |
|---|---|
| Provider Enumeration Date | 03/21/2011 |
| Last Update Date | 03/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023317799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A36884 (California) | Primary |
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