| Vn Healthy Living Medical Group Inc | |
|
707 Palm Ave Imperial Beach CA 91932-1229 | |
| (619) 429-7700 | |
| Not Available |
| Full Name | Vn Healthy Living Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 707 Palm Ave, Imperial Beach, California |
| Authorized Official Name and Position | Vijay Kuppurajan (PHYSICIAN OWNER) |
| Authorized Official Contact | 6199550807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vn Healthy Living Medical Group Inc 707 Palm Ave Imperial Beach CA 91932-1229 Ph: (619) 429-7700 | Vn Healthy Living Medical Group Inc 707 Palm Ave Imperial Beach CA 91932-1229 Ph: (619) 429-7700 |
| NPI Number | 1154030955 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 09/28/2023 |
| Medicare PECOS PAC ID | 0446620348 |
|---|---|
| Medicare Enrollment ID | O20230111001521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154030955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nisha Kuruvadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104322239 PECOS PAC ID: 4486904794 Enrollment ID: I20230111001560 |
| Provider Name | Vijay Krishna Kuppurajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326669060 PECOS PAC ID: 3173995016 Enrollment ID: I20230202001510 |
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