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

Vital Medical Group, Inc

Organization Family Medicine Physician · NPI 1124886437

Vital Medical Group, Inc is a Family Medicine Physician in Glendale, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1314 W Glenoaks Blvd Ste 205
Glendale, CA 91201-4890
Phone: (818) 396-5158
Fax: (818) 396-5073
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124886437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maxwell Jen — Medical Director · (818) 396-5158
NPI enumeratedMarch 11, 2024
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address1314 W Glenoaks Blvd Ste 205, Glendale, CA 91201-4890

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