Organization · Type 2 NPI
Vida Vibrante Transitional Care Group Inc
General Practice Physician · Lodi, CA
NPI number
1891171526
Active
Practice location
2036 Snowbird Dr
Lodi, CA 95242-4754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A104774 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1891171526
Vida Vibrante Transitional Care Group Inc's National Provider Identifier is 1891171526, issued on Aug 5, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lodi, CA. The record was last updated on Sep 2, 2015.