Organization Name: | ELENA P. VITUG M.D., INC. |
NPI Number: | 1043367162 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELENA PENAFLOR VITUG (PRESIDENT) |
Mailing Address: | 502 Euclid Ave Suite 201 National City |
State: | CA US |
Postal Code: | 919502931 |
Phone Number: | 6194756204 |
Fax Number: | 6194755174 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 05/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | A44349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |