Individual
DR. VITALI AIZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 E ST, CHULA VISTA, CA 91910-2667
(619) 934-3260
(619) 934-3268
Mailing address
PO BOX 121619, CHULA VISTA, CA 91912-6319
(619) 823-0948
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
A82761
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A82761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A827610
—
CA
Enumeration date
09/07/2006
Last updated
02/25/2023
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