Organization
VISTA IMMEDIATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVARSHI NATH MD (OWNER)
(760) 295-7677
Entity
Organization
Contact information
Practice address
950 E VISTA WAY, UNIT C, VISTA, CA 92084-5200
(310) 561-0855
Mailing address
950 E VISTA WAY, UNIT C, VISTA, CA 92084-5200
(310) 561-0855
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
C54157
CA
Other
Enumeration date
10/16/2011
Last updated
10/16/2011
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