Vitality Medical Center INC

NPI #1184198442 in Glendale, California

Provider Information

NPI Number: 1184198442
Entity Type: Organization
Organization Name: Vitality Medical Center INC
Primary Specialty: General Practice
Enumeration Date: Jan 18, 2019
Last Updated: Jan 18, 2019

Practice Location

Address: 1648 W GLENOAKS BLVD # 101
City: Glendale
State: California
ZIP Code: 91201-1827
Phone: (818) 805-0005

Authorized Official

Name: LILIA SEROBIAN
Title: SECRETARY
Phone: (818) 805-0005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X
General Practice	208D00000X	Primary

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