Vira Fomenko, MD
NPI #1023512456 in San Jose, California
Provider Information
- NPI Number
- 1023512456
- Entity Type
- Individual
- Name
- Vira Fomenko, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Mar 20, 2018
- Last Updated
- Nov 21, 2025
Practice Location
- Address
- 2400 MOORPARK AVE STE 300
- City
- San Jose
- State
- California
- ZIP Code
- 95128-2680
- Phone
- (408) 975-2730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Student in an Organized Health Care Education/Training Program |
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