Individual
DR. MITEN VASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9961 SIERRA AVE, KAISER PERMANENTE, DEPARTMENT OF INTERNAL MEDICINE, FONTANA, CA 92335-6720
(909) 427-7132
Mailing address
9961 SIERRA AVE, KAISER PERMANENTE, DEPARTMENT OF INTERNAL MEDICINE, FONTANA, CA 92335-6720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A104911
CA
207RR0500X
Rheumatology Physician
Primary
A104911
CA
Other
Enumeration date
07/31/2008
Last updated
11/22/2021
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