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NPI Code Detail

MEDICARE: JOSEFINA BILLEDO VISTE MD

MEDICARE: JOSEFINA BILLEDO VISTE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA38815CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861534026
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEFINA BILLEDO VISTE MD
Provider Business Mailing Address
First Line : 2721 W 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3111
Country : US
Telephone Number : 213-386-0010
Fax Number : 213-386-4190
Provider Business Practice Location Address
First Line : 2721 W 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3111
Country : US
Telephone Number : 213-386-0010
Fax Number : 213-386-4190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/08/2007

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Directions to “ JOSEFINA BILLEDO VISTE MD” Practice Location

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