Kevin A Vida in Rancho Mirage - Physician Assistant

Kevin A Vida - NPI 1023000122

Kevin A Vida is a Physician Assistant in Rancho Mirage, California. Kevin A Vida practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin A Vida is 1023000122. The last update date is 2012-04-17.

Kevin A Vida's current location address is P.o. Box 1730, Rancho Mirage, California. You can contact this provider via phone number 7605682684 and fax number 7608372202. The mailing address for Kevin A Vida is P.o. Box 1730, Rancho Mirage, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin A Vida
Address P.o. Box 1730, Rancho Mirage, California
Phone Number 7605682684
Fax Number 7608372202
Sole Proprietor N
Credentials PA C

NPI Number Detail

NPI Number 1023000122
Provider Enumeration Date 2005-08-16
Last Updated Date 2012-04-17

Provider Mailing Address Detail

Address P.o. Box 1730
City Rancho Mirage
State California (CA)
Post Code 922701058
Phone Number 7605682684
Fax Number 7608372202

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 867
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kevin A Vida

What is the unique identifier code issued to Kevin A Vida by the Centers for Medicare & Medicaid Services (CMS)?

The Kevin A Vida has been assigned the NPI (National Provider Identifier) 1023000122. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Kevin A Vida?

The Kevin A Vida is physically situated at P.O. Box 1730, in the city of Rancho Mirage, state of CA, with the postal code 922701058.

What is Kevin A Vida's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kevin A Vida is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

When did Kevin A Vida receive its 1023000122 assignment?

The Kevin A Vida was assigned its 1023000122 on 2005-08-16, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Kevin A Vida last refreshed?

The information related to the Kevin A Vida, including its address, specialty, and other relevant details, was last updated on 2012-04-17.

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