| NPI | 1639860620 |
|---|---|
| Doing Business As | VITALIS REGENERATIVE & PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | BEHNOOSH BEHDAD RAHAVARD CEO 310-759-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2025-03-10 |