Provider Demographics
NPI:1831895960
Name:MINDAUGAS VIELA M.D. INC.
Entity type:Organization
Organization Name:MINDAUGAS VIELA M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MINDAUGAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VIELA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-795-6549
Mailing Address - Street 1:PO BOX 5486
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92863-5486
Mailing Address - Country:US
Mailing Address - Phone:818-550-0900
Mailing Address - Fax:
Practice Address - Street 1:1500 E CHEVY CHASE DR STE 450
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4153
Practice Address - Country:US
Practice Address - Phone:818-795-6549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty