Organization
VIDA SANA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO DURAZO M.D. (MEDICAL DIRECTOR)
15595629399
Entity
Organization
Contact information
Practice address
781 N. SEQUOIA AVE, SUITE 2, LINDSAY, CA 93247-1422
(155) 956-2939
(155) 956-2937
Mailing address
23222781 SEQUOIA AVE, SUITE 2, LINDSAY, CA 93247-1422
(155) 956-2939
(155) 956-2937
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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