Provider Demographics
NPI:1033529854
Name:NEW MEDICAL VISION
Entity Type:Organization
Organization Name:NEW MEDICAL VISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-278-9744
Mailing Address - Street 1:PO BOX 2129
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92628-2129
Mailing Address - Country:US
Mailing Address - Phone:949-278-9744
Mailing Address - Fax:714-459-7004
Practice Address - Street 1:159 N RAYMOND AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-4609
Practice Address - Country:US
Practice Address - Phone:714-871-2495
Practice Address - Fax:714-459-7004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APEX PAIN MANAGEMENT, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA642442081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty