La Vita Real Estate LLC
NPI #1740860014 in Coronado, California
Provider Information
- NPI Number
- 1740860014
- Entity Type
- Organization
- Organization Name
- La Vita Real Estate LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 12, 2021
- Last Updated
- Apr 12, 2021
Practice Location
- Address
- 1001 B AVE STE 108
- City
- Coronado
- State
- California
- ZIP Code
- 92118-3423
- Phone
- (619) 490-5141
Authorized Official
- Name
- MONEER JAIBAJI, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (619) 490-5141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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