| Vituity | |
|
4445 Magnolia Ave Riverside CA 92501-4135 | |
| (951) 788-3000 | |
| Not Available |
| Full Name | Vituity |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4445 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Theophile Koury (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vituity 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | Vituity 4445 Magnolia Ave Riverside CA 92501-4135 Ph: (951) 788-3000 |
| NPI Number | 1245761451 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245761451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (NU) | Primary |
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