Vitality&longevity Medical Center a Professional Medical Corporation
Vitality&longevity Medical Center a Professional Medical Corporation is a Family Medicine Physician in Santa Monica, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
2221 Lincoln Blvd Ste 200Santa Monica, CA 90405-1320
Phone: (310) 581-8585
Fax: (320) 215-4650
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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 · Licence A21560 (CA) |
|---|
Record details
| NPI number | 1003032525 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglas Hopper — President · (310) 581-8585 |
| NPI enumerated | April 17, 2007 |
| Last updated in NPPES | June 13, 2008 |
| Mailing address | 2221 Lincoln Blvd, Suite 200, Santa Monica, CA 90405-1320 |
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