Organization
JAMES R. VEVAINA, M.D. (CORP.)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R. VEVAINA M.D. (PRESIDENT / CEO.)
(858) 581-0400
Entity
Organization
Contact information
Practice address
8929 UNIVERSITY CENTER LANE, SUITE 100, SAN DIEGO, CA 92122-1006
(858) 581-0400
(858) 581-0070
Mailing address
8929 UNIVERSITY CENTER LANE, SUITE 100., SAN DIEGO, CA 92122-1006
(858) 581-0400
(858) 581-0070
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A30551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A305510
—
CA
Enumeration date
07/02/2012
Last updated
10/31/2012
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