| NPI | 1376062836 |
|---|---|
| Former Legal Business Name | VIVA CENTER |
| Entity Type | Organization |
| Authorized Contact | VAJRA JAI Executive Director 888-299-4570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101242686) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101244564) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |