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

Vitality Prohealth

Organization Internal Medicine Physician · NPI 1205759081

Vitality Prohealth is an Internal Medicine Physician in Lake Forest, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

27422 Portola Pkwy Ste 200
Lake Forest, CA 92610-2836
Phone: (949) 324-2151
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1205759081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Kharazmi — Owner · (949) 324-2151
NPI enumeratedJuly 30, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address27422 Portola Pkwy Ste 200, Lake Forest, CA 92610-2836

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