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Organization
VIDA HEALTH CARE P.C.
Active
Organization
VIDA HEALTH CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER LEON D.O. (MEDICAL DIRECTOR)
(562) 694-0600
Entity
Organization
Contact information
Practice address
202 W. LA HABRA BLVD., LA HABRA, CA 90631
(562) 694-0600
(562) 694-0611
Mailing address
202 W. LA HABRA BLVD., LA HABRA, CA 90631-5404
(562) 694-0600
(562) 694-0611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A8311
CA
363A00000X
Physician Assistant
PA17187
CA
363AM0700X
Medical Physician Assistant
PA17142
CA
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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