Vital Well is a Clinic/Center based in Los Angeles, CA. Vital Well practices in Los Angeles, CA. The NPI Number for Vital Well is 1164004768 and holds a License No. (California).
The current practice location address for Vital Well is 3939 Veselich Ave Apt 302, Los Angeles, CA and can be reached out via phone at 808-595-6237.
Location: 3939 Veselich Ave Apt 302, Los Angeles, CA, 90039-1485
Provider Profile Details
NPI Number
1164004768
Provider Name
Vital Well
Credential
Provider Entity Type
Organization
Address
3939 Veselich Ave Apt 302, Los Angeles, CA, 90039-1485
Phone Number
808-595-6237
Fax Number
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114366002 | 05 | CA |
Provider Business Practice Location Address Details
Address
3939 Veselich Ave Apt 302
City
State
Zip
90039-1485
Phone Number
808-595-6237
Fax Number
Provider Business Mailing Address Details
Address
3939 Veselich Ave Apt 302
City
State
Zip
90039-1485
Phone Number
808-595-6237
Fax Number
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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