Organization
VITALI AIZIN, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VITALI AIZIN M.D. (PRESIDENT)
(619) 823-0948
Entity
Organization
Contact information
Practice address
321 E ST, CHULA VISTA, CA 91910-2667
(619) 823-0948
(619) 370-3924
Mailing address
PO BOX 121619, CHULA VISTA, CA 91912-6319
(619) 427-8646
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A82761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407097447
—
CA
Enumeration date
03/22/2009
Last updated
12/19/2023
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