# ISAAC VIELMA MD, INC.

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

## Provider details

- **NPI number:** 1922242056
- **Authorized official:** DR. ISAAC VIELMA MD (PRESIDENT)
- **Authorized official phone:** (818) 920-8070

## Contact information

- **Practice address:** 928 N SAN FERNANDO BLVD, \#J-234, BURBANK, CA 91504-4350
- **Practice address phone:** (818) 920-8070
- **Practice address fax:** (818) 245-1707
- **Mailing address:** 928 N SAN FERNANDO BLVD, \#J-234, BURBANK, CA 91504-4350
- **Mailing address phone:** (818) 920-8070
- **Mailing address fax:** (818) 245-1707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | A90584 | CA | Yes |

## Other

- **Enumeration date:** 04/20/2009
- **Last updated:** 10/07/2010