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VITALIZE NATUROPATHIC MEDICINE PC NPI 1043823578


NPI Information

NPI: 1043823578
Provider Name: VITALIZE NATUROPATHIC MEDICINE PC

Doing Business As: VITALIZE NATURAL MEDICINE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D2194377

Address:
1106 N LA CIENEGA BLVD STE 207
WEST HOLLYWOOD, CA
ZIP 90069
Phone: (323) 524-5859
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VITALIZE NATUROPATHIC MEDICINE PC is a clinic center in West Hollywood, CA. The provider is 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). VITALIZE NATUROPATHIC MEDICINE PC NPI is 1043823578. The provider is registered as an organization entity type.
The provider Is Doing Business As Vitalize Natural Medicine.

The provider's business location address is:

1106 N LA CIENEGA BLVD STE 207
WEST HOLLYWOOD, CA
ZIP 90069-493
Phone: (323) 524-5859

The provider's authorized official is Ryan Namdarkhan .
The authorized official title is President and has the following contact phone number (323) 524-5859.

The CLIA number assigned to this NPI record is 05D2194377 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2020 and was last updated on 4/17/2024.


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
1261Q00000XClinic/CenterYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.