| NPI | 1366839656 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-04-24 |
| Last Updated | 2021-11-17 |
| Authorized Official | Marcel Filart President Phone: 3234991350 |
| Mailing Address | 6245 De Longpre Ave Fl 2 Los Angeles, CA 90028-8253 United States Phone: (323) 499-1350 | Fax: (323) 798-3021 📍 View Map |
| Primary Practice Address | 6245 De Longpre Ave Fl 2 Los Angeles, CA 90028-8253 United States Phone: (323) 499-1350 | Fax: (323) 798-3021 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207QG0300X – Family Medicine, Geriatric Medicine | CA | A76022 |
| Yes | 207RG0300X – Internal Medicine, Geriatric Medicine | CA | A76022 |
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About NPI 1366839656
Vital Health Medical Group, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1366839656. The primary specialty listed is Internal Medicine, Geriatric Medicine. The organization is located in Los Angeles, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-04-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366839656?
NPI 1366839656 belongs to Vital Health Medical Group, Inc., a Internal Medicine, Geriatric Medicine in Los Angeles, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366839656 active?
The current status of NPI 1366839656 in the NPPES registry is Active. The record was last updated on 2021-11-17.
What specialty is NPI 1366839656?
NPI 1366839656 is classified under the taxonomy Internal Medicine, Geriatric Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1366839656?
You can verify NPI 1366839656 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1366839656?
The primary practice address on file for NPI 1366839656 is 6245 De Longpre Ave Fl 2, Los Angeles, CA 90028-8253. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366839656 issued?
NPI 1366839656 was first issued (enumerated) on 2015-04-24. The NPPES record was last updated on 2021-11-17.
Practice Location Map
Vital Health Medical Group, Inc. is located at 6245 De Longpre Ave Fl 2, Los Angeles, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Vital Health Medical Group, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1366839656. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine, Geriatric Medicine | A76022 | CA |
| Internal Medicine, Geriatric Medicine | A76022 | CA |