Avitality Medical Professional Corporation
Avitality Medical Professional Corporation provides Family Medicine Physician services in Ontario, California. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
653 E E St Ste 109Ontario, CA 91764-4257
Phone: (909) 395-9888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1457269136 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lan Lam — Owner · (909) 395-9888 |
| NPI enumerated | September 1, 2026 |
| Last updated in NPPES | September 13, 2026 |
| Certification date | September 13, 2026 |
| Mailing address | 653 E E St Ste 109, Ontario, CA 91764-4257 |
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