Avesta Corporation
Emergency Medicine in Coronado, CA. Organization (NPI-2).
NPI number1265613640
StatusActive
Last updated in NPPESNov 14, 2007
Details
- NPI
- 1265613640
- Entity type
- Organization (NPI-2)
- Legal business name
- Avesta Corporation
- Organization subpart
- No
- Enumeration date
- Nov 14, 2007
- Last updated
- Nov 14, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | A76540 | CA | Yes |
Practice location
250 Prospect PlCoronado, CA 92118-1943
Phone 619-522-3722
Mailing address
Po Box 28247Tempe, AZ 85285-8247
Phone 480-967-6500 · Fax 480-967-6540
Authorized official
Reza H Tirgari
President
6195230410
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