Organization
VIDA MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMEN YEGHIA NERSECCIAN D.O. (MEDICAL DIRECTOR)
(909) 429-8000
Entity
Organization
Contact information
Practice address
16127 FOOTHILL BLVD, FONTANA, CA 92335-3374
(909) 429-8000
(909) 429-8705
Mailing address
16127 FOOTHILL BLVD, FONTANA, CA 92335-3374
(909) 429-8000
(909) 429-8705
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
10/30/2015
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