Healthcare Provider Details

I. General information

NPI: 1972061042
Provider Name (Legal Business Name): VAZIRI CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2019
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9178 BIRD ST
SANTEE CA
92071-3205
US

IV. Provider business mailing address

9178 BIRD ST
SANTEE CA
92071-3205
US

V. Phone/Fax

Practice location:
  • Phone: 619-633-8862
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANAZ VAZIRI
Title or Position: OWNER/DIRECTOR OF OPERATIONS
Credential:
Phone: 619-633-8862