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Vita Ipa Medical Group, PC

Health Maintenance Organization in Fullerton, CA. Organization (NPI-2).

NPI number1619829454
StatusActive
Last updated in NPPESFeb 12, 2026

Details

NPI
1619829454
Entity type
Organization (NPI-2)
Legal business name
Vita Ipa Medical Group, PC
Organization subpart
No
Enumeration date
Feb 12, 2026
Certification date
Feb 12, 2026
Last updated
Feb 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization––Yes

Practice location

305 N Harbor Blvd Ste 219
Fullerton, CA 92832-1901

Phone 213-296-0352 · Fax 213-277-8747

Mailing address

2271 W Malvern Ave # 1186
Fullerton, CA 92833-2106

Phone 213-296-0352 · Fax 213-277-8747

Authorized official

Phillip Lim
President
2132960352

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