Vivid Med Spa, Professional Corporation
Vivid Med Spa, Professional Corporation is a Home Infusion Agency in Ukiah, California. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 5
Practice location Address checks out
166 E Gobbi StUkiah, CA 95482-4918
Phone: (707) 414-0419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infusion Therapy Clinic/Center (primary) | Taxonomy 261QI0500X |
|---|---|
| Home Infusion Agency | Taxonomy 251F00000X |
| Clinic/Center | Taxonomy 261Q00000X |
| Health Service Clinic/Center | Taxonomy 261QH0100X |
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
Record details
| NPI number | 1619823036 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ria Jivan — Ceo · (903) 363-5914 |
| Other names | Vivid Med Spa & Laser Clinic |
| NPI enumerated | March 9, 2026 |
| Last updated in NPPES | March 9, 2026 |
| Certification date | March 8, 2026 |
| Mailing address | 166 E Gobbi St, Ukiah, CA 95482-4918 |
Other providers in Ukiah
-
Life Line Health Services
312 N School St, Ukiah, CA 95482-4312 · (707) 510-6625