Organization
VIB PHYSICIAN ASSISTANT PROFESSIONAL CORPORATION
Active
Organization
VIB PHYSICIAN ASSISTANT PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM BEDEROV PA (OWNER)
(650) 464-3997
Entity
Organization
Contact information
Practice address
1506 S DELAWARE ST, SAN MATEO, CA 94402-2150
(650) 464-3997
Mailing address
1506 S DELAWARE ST, SAN MATEO, CA 94402-2150
(650) 464-3997
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
08/10/2026
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