Provider Demographics
NPI:1265699102
Name:VINT, VINTON CLAUDE (MD)
Entity type:Individual
Prefix:DR
First Name:VINTON
Middle Name:CLAUDE
Last Name:VINT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9453
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92067-4453
Mailing Address - Country:US
Mailing Address - Phone:858-759-7790
Mailing Address - Fax:603-947-2765
Practice Address - Street 1:16338 AVE DE LOS OLIVOS
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92067-4453
Practice Address - Country:US
Practice Address - Phone:858-759-7790
Practice Address - Fax:603-947-2765
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA234282085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology