Healthcare Provider Details

I. General information

NPI: 1578081089
Provider Name (Legal Business Name): VF ALLIANCE, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2017
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

969 S SANTA FE AVE STE A
VISTA CA
92083-6910
US

IV. Provider business mailing address

969 S SANTA FE AVE STE A
VISTA CA
92083-6910
US

V. Phone/Fax

Practice location:
  • Phone: 760-941-7050
  • Fax: 760-941-7142
Mailing address:
  • Phone: 760-941-7050
  • Fax: 760-941-7142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA109221
License Number StateCA

VIII. Authorized Official

Name: ANTONIA ROMERO
Title or Position: OFFICE MANAGER
Credential:
Phone: 760-941-7050