| Vista Medical Group | |
|
2071 Compton Ave Ste 101102 Corona CA 92881-7278 | |
| (951) 549-0900 | |
| (951) 278-8552 |
| Full Name | Vista Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2071 Compton Ave Ste 101102, Corona, California |
| Authorized Official Name and Position | Naser Wadie Azar (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9515490900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Medical Group Po Box 1245 Colton CA 92324-0822 Ph: (951) 549-0900 | Vista Medical Group 2071 Compton Ave Ste 101102 Corona CA 92881-7278 Ph: (951) 549-0900 |
| NPI Number | 1972673846 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972673846 | NPI | - | NPPES |
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