VITUITY - PRIMARY CARE GLENDALE PC NPI 1548876626

NPI Information

VITUITY - PRIMARY CARE GLENDALE PC is a family medicine in Glendale, 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. VITUITY - PRIMARY CARE GLENDALE PC NPI is 1548876626. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1560 E CHEVY CHASE DR STE 355
GLENDALE, CA
ZIP 91206-159
Phone: (747) 212-3441

The provider's authorized official is Theophile G. Koury .
The authorized official title is President and has the following contact phone number (510) 350-2638.

The CLIA number assigned to this NPI record is 05D2204637 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/23/2020 and was last updated on 6/16/2021.

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:

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