# VASONA HILL FOUNDATION

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

## Provider details

- **NPI number:** 1770424764
- **Authorized official:** NATALIYA KOMASYUK (DIRECTOR)
- **Authorized official phone:** (702) 871-8535

## Contact information

- **Practice address:** 13140 LUMEN WAY, SAN DIEGO, CA 92130-2984
- **Practice address phone:** (702) 871-8535
- **Mailing address:** 1718 CAPITOL AVE, CHEYENNE, WY 82001-4528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2255A2300X | Athletic Trainer | — | NULL | — |
| 2255A2300X | Athletic Trainer | — | — | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2026
- **Last updated:** 04/06/2026