| NPI | 1417274952 |
|---|---|
| Doing Business As | VITAL PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ALIREZA KHAZAEIZADEH CEO / President 949-394-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A100885) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2023-11-29 |