VITRUVIANMD INC NPI 1053031716

NPI Information

  • NPI: 1053031716
  • Provider Name: VITRUVIANMD INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 30131 TOWN CENTER DR STE 295
    LAGUNA NIGUEL, CA
    ZIP 92677
  • Phone: (619) 363-5347

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NPI Details

VITRUVIANMD INC is a family medicine in Laguna Niguel, 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. VITRUVIANMD INC NPI is 1053031716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30131 TOWN CENTER DR STE 295
LAGUNA NIGUEL, CA
ZIP 92677-086
Phone: (619) 363-5347
Fax: (949) 288-0375

The provider's authorized official is Jonathan Melton Lish .
The authorized official title is Owner/ceo and has the following contact phone number (559) 308-3017.

The enumeration date for this NPI number is 9/1/2022 and was last updated on 1/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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: 3/30/2025

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