=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548974983
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BIOVICA INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2023
-----------------------------------------------------
Last Update Date | 07/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6195 CORNERSTONE CT E STE 101
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92121-4728
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-230-6044
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6195 CORNERSTONE CT E STE 101
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92121-4728
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-230-6044
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | HEAD OF US OPERATIONS
-----------------------------------------------------
Name | HECTOR TAMBURINI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 858-230-6164
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------