Vitaboost Wellness Center
NPI #1518627033 in Chatsworth, California
Provider Information
- NPI Number
- 1518627033
- Entity Type
- Organization
- Organization Name
- Vitaboost Wellness Center
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Dec 23, 2021
- Last Updated
- Dec 23, 2021
Practice Location
- Address
- 20955 DEVONSHIRE ST
- City
- Chatsworth
- State
- California
- ZIP Code
- 91311-2313
- Phone
- (310) 877-8067
Authorized Official
- Name
- DR. AUDRA ELAINE FORD, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (310) 877-8067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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