| NPI | 1043823578 |
|---|---|
| Doing Business As | VITALIZE NATURAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RYAN NAMDARKHAN President 323-524-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2024-04-17 |