Avesta Corporation
Organization Active NPI Emergency Medicine Physician · Coronado, CA
NPI 1265613640 · NPPES record last updated Nov 14, 2007
Key facts
- NPI
- 1265613640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- A76540 (CA)
- Legal business name
- AVESTA CORPORATION
- Practice address
- 250 Prospect PL
Coronado, CA 92118-1943 - Phone
- (619) 522-3722
- NPI assigned
- Nov 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Reza H Tirgari, MD
- Title
- President
- Phone
- (619) 523-0410
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | A76540 | CA | Yes |
Addresses
Primary practice location
250 Prospect PL
Coronado, CA 92118-1943
Mailing address
PO Box 28247
Tempe, AZ 85285-8247
Phone (480) 967-6500
Other providers in Coronado, CA
- Angela Ataya
- Neha Athale
- Thomas James Avallone
- Ann-Marie Avanni
- Robert Charles Avery
- Ayouty Dental Corporation
- Baehr Medical Corporation
- Natalie Bailey
- William Edgar Bailey
- Abhishek Bajpai
All providers in Coronado, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.