Vital Well Llc is a
Clinic/center - Health Service based in Los Angeles, California. Vital Well Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3939 Veselich Ave Apt 302, Los Angeles, California. It can be reached at their office (for appointments etc.) via phone at
(808) 595-6237.
NPI number for Vital Well Llc is 1932861390 and their current mailing address is 3939 Veselich Ave Apt 302, Los Angeles, California. Vital Well Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1932861390.
Healthcare Provider's Profile
| Full Name | Vital Well Llc |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Health Service |
|---|
| Location | 3939 Veselich Ave Apt 302, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932861390
- Provider Enumeration Date: 10/12/2021
- Last Update Date: 10/12/2021
Medical Identifiers
Medical identifiers for Vital Well Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932861390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vital Well Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vital Well Llc
3939 Veselich Ave Apt 302,
Los Angeles, CA 90039-1485
Ph: (808) 595-6237 | Vital Well Llc
3939 Veselich Ave Apt 302,
Los Angeles, CA 90039-1485
Ph: (808) 595-6237 |
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