Healthcare Provider Details

I. General information

NPI: 1427218858
Provider Name (Legal Business Name): JOSEPH FRANCIS VIGLOTTI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7170 CAMINITO PEPINO
LA JOLLA CA
92037-5721
US

IV. Provider business mailing address

7170 CAMINITO PEPINO
LA JOLLA CA
92037-5721
US

V. Phone/Fax

Practice location:
  • Phone: 858-454-8325
  • Fax: 858-454-6257
Mailing address:
  • Phone: 858-454-8325
  • Fax: 858-454-6257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberG32676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: