VITALITY MEDICAL INSTITUTE INC. NPI 1700298601

NPI Information

NPI: 1700298601
Provider Name: VITALITY MEDICAL INSTITUTE, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2226553

Address:
3661 TORRANCE BLVD STE 201
TORRANCE, CA
ZIP 90503
Phone: (310) 626-1533
Get Directions

VITALITY MEDICAL INSTITUTE, INC. is a multi-specialty clinic center in Torrance, CA. VITALITY MEDICAL INSTITUTE, INC. NPI is 1700298601. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3661 TORRANCE BLVD STE 201
TORRANCE, CA
ZIP 90503-884
Phone: (310) 626-1533

The provider's authorized official is Edgar Jason Chang .
The authorized official title is Coo and has the following contact phone number (310) 626-1533.

The CLIA number assigned to this NPI record is 45D2226553 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2014 and was last updated on 11/30/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204R00000X	Electrodiagnostic Medicine		A84921	CALIFORNIA	No
2	111N00000X	Chiropractor				No
3	171100000X	Acupuncturist				No
4	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry			No
5	208VP0014X	Pain Medicine	Interventional Pain Medicine	A84921	CALIFORNIA	No
6	363AM0700X	Physician Assistant	Medical			No
7	363AS0400X	Physician Assistant	Surgical			No
8	261QM1300X	Clinic/Center	Multi-Specialty			Yes
9	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	A84921	CALIFORNIA	No
10	208100000X	Physical Medicine & Rehabilitation				No

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »