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VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION NPI 1003032525


NPI Information

NPI: 1003032525
Provider Name: VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2221 LINCOLN BLVD
SUITE 200
SANTA MONICA, CA
ZIP 90405
Phone: (310) 581-8585
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VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION is a family medicine in Santa Monica, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION NPI is 1003032525. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2221 LINCOLN BLVD
SUITE 200
SANTA MONICA, CA
ZIP 90405-320
Phone: (310) 581-8585
Fax: (320) 215-4650

The provider's authorized official is Douglas J Hopper .
The authorized official title is President and has the following contact phone number (310) 581-8585.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 6/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA21560CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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