Individual provider · Type 1 NPI

Beata Jane Vayngortin, MD

Student in an Organized Health Care Education/Training Program · Redwood City, CA

NPI number 1174383012 Active

Practice location

450 Broadway St
Redwood City, CA 94063-3132

Call (650) 721-7669 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174383012

Beata Jane Vayngortin, MD's National Provider Identifier is 1174383012, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Redwood City, CA. The record was last updated on Jul 9, 2026.