Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Health and Vitality Center Medical Corporation

Organization Family Medicine Physician · NPI 1619103587

Health and Vitality Center Medical Corporation is a Family Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

11600 Wilshire Blvd Ste 120
Los Angeles, CA 90025-5781
Phone: (310) 477-1166
Fax: (310) 477-9911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A8026 (CA)

Record details

NPI number1619103587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shiva Lalezar — President · (310) 477-1166
NPI enumeratedJune 5, 2009
Last updated in NPPESJune 5, 2009
Mailing address11600 Wilshire Blvd, Suite 120, Los Angeles, CA 90025-5781

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