NPI | 1023463189 |
---|---|
Doing Business As | VISTA PSYCHIATRIC AND PRIMARY CARE SERVICES |
Entity Type | Organization |
Authorized Contact | YONIS A MUDEY CEO 510-517-3156 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
363LC1500X Nurse Practitioner, Community Health | |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2016-04-26 |
Last Update Date | 2024-09-16 |