Vital Medical Services LLC
Clinic/Center, Multi-Specialty in Glendale, CA. Organization (NPI-2).
NPI number1164038709
StatusActive
Last updated in NPPESSep 18, 2020
Details
- NPI
- 1164038709
- Entity type
- Organization (NPI-2)
- Legal business name
- Vital Medical Services LLC
- Organization subpart
- No
- Enumeration date
- Sep 18, 2020
- Certification date
- Sep 18, 2020
- Last updated
- Sep 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – | |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – |
Practice location
700 N Brand Blvd Ste 220Glendale, CA 91203-3235
Phone 818-905-1700
Mailing address
700 N Brand Blvd Ste 220Glendale, CA 91203-3235
Phone 818-905-1700
Authorized official
Alex G Ghazalpour
Chief Operating Officer
8189051700
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