| NPI | 1023317799 |
|---|---|
| Doing Business As | VIVA WELLNESS MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EUGENE MICHAEL TACHUK President 619-222-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A36884) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |