| Organization Name: | CLINICA SIERRA VISTA |
| NPI Number: | 1104941145 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN W. SCHILLING (CEO) |
| Mailing Address: | 8787 Hall Rd Lamont |
| State: | CA US |
| Postal Code: | 932411953 |
| Phone Number: | 6618453731 |
| Fax Number: | 6618451157 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 11/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 120000196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |