Avesta Corporation

NPI #1265613640 in Coronado, California

Provider Information

NPI Number: 1265613640
Entity Type: Organization
Organization Name: Avesta Corporation
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 14, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 250 PROSPECT PL
City: Coronado
State: California
ZIP Code: 92118-1943
Phone: (619) 522-3722

Authorized Official

Name: DR. REZA H TIRGARI, MD
Title: PRESIDENT
Phone: (619) 523-0410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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