# VISTA MEDICAL EQUIPMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124209614
- **Authorized official:** MR. ROBERT C VILLAREAL (CEO)
- **Authorized official phone:** (760) 631-2944

## Contact information

- **Practice address:** 1070 S SANTA FE AVE, SUITE 27, VISTA, CA 92084-7007
- **Practice address phone:** (760) 631-2944
- **Practice address fax:** (760) 631-2929
- **Mailing address:** 1070 S SANTA FE AVE, SUITE 27, VISTA, CA 92084-7007
- **Mailing address phone:** (760) 631-2944
- **Mailing address fax:** (760) 631-2929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 11/26/2007