| NPI | 1790368058 |
|---|---|
| Other Name | VITALITY HEALTH PLUS MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RAJENDRA PRASAD Owner 310-237-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-07-29 |