# THOMAS R VECCHIONE MD A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1811202740
- **Authorized official:** DR. THOMAS RAY VECCHIONE M.D. (SURGEON)
- **Authorized official phone:** (619) 297-4433

## Contact information

- **Practice address:** 3399 1ST AVE, SAN DIEGO, CA 92103-5601
- **Practice address phone:** (619) 297-4433
- **Practice address fax:** (619) 297-9247
- **Mailing address:** 3399 1ST AVE, SAN DIEGO, CA 92103-5601
- **Mailing address phone:** (619) 297-4433
- **Mailing address fax:** (619) 297-9247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | C30357 | CA | Yes |

## Other

- **Enumeration date:** 08/16/2010
- **Last updated:** 12/06/2015