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VITAL HEALTH MEDICAL GROUP INC. NPI 1366839656


NPI Information

NPI: 1366839656
Provider Name: VITAL HEALTH MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 05D2090326

Address:
6245 DE LONGPRE AVE FL 2
LOS ANGELES, CA
ZIP 90028
Phone: (323) 499-1350
Get Directions

VITAL HEALTH MEDICAL GROUP, INC. is a geriatric medicine internal medicine in Los Angeles, CA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. VITAL HEALTH MEDICAL GROUP, INC. NPI is 1366839656. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6245 DE LONGPRE AVE FL 2
LOS ANGELES, CA
ZIP 90028-253
Phone: (323) 499-1350
Fax: (323) 798-3021

The provider's authorized official is Marcel S Filart .
The authorized official title is President and has the following contact phone number (323) 499-1350.

The CLIA number assigned to this NPI record is 05D2090326 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2015 and was last updated on 11/17/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineA76022CALIFORNIANo
2207RG0300XInternal MedicineGeriatric MedicineA76022CALIFORNIAYes

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

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