Organization
KRISTEN VIERREGGER
Active
Other names
Metamorphosis Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN SUE VIERREGGER M.D. (OWNER)
(714) 484-8000
Entity
Organization
Contact information
Practice address
8081 STANTON AVE, BUENA PARK, CA 90620-3237
(714) 484-8000
(714) 484-8800
Mailing address
8081 STANTON AVE, BUENA PARK, CA 90620-3237
(714) 484-8000
(714) 484-8800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A112427
CA
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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