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Organization
VIDA SANA MEDICAL GROUP, INC.
Active
Organization
VIDA SANA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN CORDOVA (ADMINISTRATOR)
(559) 562-9399
Entity
Organization
Contact information
Practice address
755 N. SEQUOIA AVE., SUITE B, LINDSAY, CA 93247
(559) 562-9399
(559) 562-9379
Mailing address
755 N. SEQUOIA AVE., SUITE B, LINDSAY, CA 93247
(559) 562-9399
(559) 562-9379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G48642
CA
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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