Edgard Mario Vera Tapia in Victorville - Nephrology

Edgard Mario Vera Tapia - NPI 1235127515

Edgard Mario Vera Tapia is a Nephrology in Victorville, California. Edgard Mario Vera Tapia practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Edgard Mario Vera Tapia is 1235127515. The last update date is 2014-11-20.

Edgard Mario Vera Tapia's current location address is 17207 Jasmine St, Victorville, California. You can contact this provider via phone number 7607804179 and fax number 7602414591. The mailing address for Edgard Mario Vera Tapia is 17207 Jasmine St, Victorville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Edgard Mario Vera Tapia
Address 17207 Jasmine St, Victorville, California
Phone Number 7607804179
Fax Number 7602414591
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1235127515
Provider Enumeration Date 2005-10-11
Last Updated Date 2014-11-20

Provider Mailing Address Detail

Address 17207 Jasmine St
City Victorville
State California (CA)
Post Code 92395
Phone Number 7607804179
Fax Number 7602414591

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No A79177
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10050B175 NV --
00A791770 CA --
1871734921 CA --
1235127515 CA --

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FAQs about Edgard Mario Vera Tapia

What is the Edgard Mario Vera Tapia's unique identification number?

The Edgard Mario Vera Tapia has been assigned the NPI (National Provider Identifier) Number 1235127515 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Edgard Mario Vera Tapia is physically located?

The Edgard Mario Vera Tapia is situated at the following address: 17207 Jasmine St, Victorville, CA 92395.

What is Edgard Mario Vera Tapia's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Edgard Mario Vera Tapia is Nephrology, and the taxonomy code that categorizes this field of expertise is 207Rn0300X.

On what date did the Edgard Mario Vera Tapia receive its 1235127515 assignment from the Centers for Medicare & Medicaid Services?

The Edgard Mario Vera Tapia was assigned its 1235127515 by the Centers for Medicare & Medicaid Services on 2005-10-11.

As of what date were the details pertaining to Edgard Mario Vera Tapia last refreshed?

The information related to the Edgard Mario Vera Tapia, including its address, specialty, and other relevant details, was last updated on 2014-11-20.

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