Vital Medical Group, INC

NPI #1124886437 in Glendale, California

Provider Information

NPI Number: 1124886437
Entity Type: Organization
Organization Name: Vital Medical Group, INC
Primary Specialty: Family Medicine
Enumeration Date: Mar 11, 2024
Last Updated: Apr 22, 2024

Practice Location

Address: 1314 W GLENOAKS BLVD STE 205
City: Glendale
State: California
ZIP Code: 91201-4890
Phone: (818) 396-5158

Authorized Official

Name: MR. MAXWELL JEN, MD
Title: MEDICAL DIRECTOR
Phone: (818) 396-5158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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