Vir, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A89502 Issued in CA

Legal business name

VIR, INC.

Doing business as

Valeria Kozak, M. D.

Practice address

14642 Newport Ave
Suite 410
Tustin, CA 92780-6057

Phone

(714) 838-0022

Fax

(714) 838-0060

NPI assigned

May 29, 2009

Last updated

May 29, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Valeria Kozak, M. D.NPI 1720057516

Title

Owner

Phone

(714) 838-0022

Specialties & licenses 1

Addresses

Other names 1

• Valeria Kozak, M. D. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valeria I Kozak, MD

  • Pediatrics Physician
  • Tustin, CA
  • NPI 1720057516
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1114153582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE 410",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-838-0022",
            "fax_number": "714-838-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE 410",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-838-0022",
            "fax_number": "714-838-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "KOZAK",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-838-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A89502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valeria Kozak, M. D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Tustin, CA
• Providers in Tustin, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.