NPI | 1972673846 |
---|---|
Doing Business As | VISTA MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | NASER WADIE AZAR Medical Director 951-549-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
261QU0200X Clinic/Center, Urgent Care | |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2006-11-08 |
Last Update Date | 2023-06-16 |