VIRTUAL REALITY MEDICAL CENTER – NPI #1659453769
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

VIRTUAL REALITY MEDICAL CENTER is an AHC clinic located in SAN DIEGO, CA. NPPES has assigned the NPI number 1659453769 to VIRTUAL REALITY MEDICAL CENTER on October 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VIRTUAL REALITY MEDICAL CENTER below.

NPI Profile for
VIRTUAL REALITY MEDICAL CENTER

NPI Number
1659453769
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VIRTUAL REALITY MEDICAL CENTER
Primary location
6160 CORNERSTONE COURT EAST
STE 155
SAN DIEGO, CA 92121
Phone: (858) 642-0267 Fax: (858) 642-0285
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK WIEDERHOLD
PRESIDENT
Phone: (858) 642-0267
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
CA G66151

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.