Provider Demographics
NPI:1972061042
Name:VAZIRI CARE, INC.
Entity Type:Organization
Organization Name:VAZIRI CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-633-8862
Mailing Address - Street 1:9178 BIRD ST
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-3205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9178 BIRD ST
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-3205
Practice Address - Country:US
Practice Address - Phone:619-633-8862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC4231047OtherCORPORATION COMPANY #