Vidito, Irena Sarah

Vidito, Irena Sarah is an individual health care provider with primary practice located at 300 Hillmont Ave , Ventura CA 93003-1651. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Vidito, Irena Sarah can be contacted via phone (805) 652-6556.

Contact Information

Primary practice address
300 Hillmont Ave Ventura CA 93003-1651
Phone: (805) 652-6556
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 20A15672 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TL1160 South Carolina

Profile Details

NPI number 1689735227
LBN Legal business name Vidito, Irena Sarah
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689735227 NPPES
South Carolina Other P00692297 RR MEDICARE
South Carolina Other TL1160 RR MEDICARE
South Carolina Other 571050553 RR MEDICARE
South Carolina MEDICAID 011604 RR MEDICARE

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