Vitality&longevity Medical Center a Professional Medical Corporation
NPI #1003032525 in Santa Monica, California
Provider Information
- NPI Number
- 1003032525
- Entity Type
- Organization
- Organization Name
- Vitality&longevity Medical Center a Professional Medical Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jun 13, 2008
Practice Location
- Address
- 2221 LINCOLN BLVD
- Address 2
- SUITE 200
- City
- Santa Monica
- State
- California
- ZIP Code
- 90405-1320
- Phone
- (310) 581-8585
Authorized Official
- Name
- DR. DOUGLAS J HOPPER, M.D.
- Title
- PRESIDENT
- Phone
- (310) 581-8585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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