Vitruvianmd INC
NPI #1053031716 in Laguna Niguel, California
Provider Information
- NPI Number
- 1053031716
- Entity Type
- Organization
- Organization Name
- Vitruvianmd INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 1, 2022
- Last Updated
- Jan 18, 2024
Practice Location
- Address
- 30131 TOWN CENTER DR STE 295
- City
- Laguna Niguel
- State
- California
- ZIP Code
- 92677-2086
- Phone
- (619) 363-5347
Authorized Official
- Name
- DR. JONATHAN MELTON LISH, MD
- Title
- OWNER/CEO
- Phone
- (559) 308-3017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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