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1619103587
HEALTH AND VITALITY CENTER MEDICAL CORPORATION
LOS ANGELES, CA
NPI
1619103587
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Entity Type
Organization
Authorized Contact
SHIVA LALEZAR
President
310-477-1166
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A8026)
Enumeration Date
2009-06-05
Last Update Date
2009-06-05
Business Address
HEALTH AND VITALITY CENTER MEDICAL CORPORATION
11600 WILSHIRE BLVD SUITE 120
LOS ANGELES, CA 90025-5781
Phone number: 310-477-1166
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Mailing Address
HEALTH AND VITALITY CENTER MEDICAL CORPORATION
11600 WILSHIRE BLVD SUITE 120
LOS ANGELES, CA 90025-5781
Phone number: 310-477-1166
Copy
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