Vida Vibrante Transitional Care Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A104774 Issued in CA

Legal business name

VIDA VIBRANTE TRANSITIONAL CARE GROUP INC

Practice address

2036 Snowbird Dr
Lodi, CA 95242-4754

Phone

(209) 662-3856

NPI assigned

Aug 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Min Min Hlaing, M.D

Title

President

Phone

(209) 662-3856

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1891171526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 SNOWBIRD DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424754",
            "telephone_number": "209-662-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 SNOWBIRD DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424754",
            "telephone_number": "209-662-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA VIBRANTE TRANSITIONAL CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "HLAING",
        "authorized_official_first_name": "MIN",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-662-3856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A104774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Lodi, CA
• Providers in Lodi, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.