VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION

SANTA MONICA, CA
NPI1003032525
Entity TypeOrganization
Authorized ContactDOUGLAS J HOPPER
President
310-581-8585
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A21560)
Enumeration Date2007-04-17
Last Update Date2008-06-13
Business Address
VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION
2221 LINCOLN BLVD SUITE 200
SANTA MONICA, CA 90405-1320
Phone number: 310-581-8585
Mailing Address
VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION
2221 LINCOLN BLVD SUITE 200
SANTA MONICA, CA 90405-1320
Phone number: 310-581-8585
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