| Vital Medical Services LLC | |
|
700 N Brand Blvd Ste 220 Glendale CA 91203-3235 | |
| (818) 905-1700 | |
| Not Available |
| Full Name | Vital Medical Services LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 700 N Brand Blvd Ste 220, Glendale, California |
| Authorized Official Name and Position | Alex G Ghazalpour (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8189051700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Medical Services LLC 700 N Brand Blvd Ste 220 Glendale CA 91203-3235 Ph: (818) 905-1700 | Vital Medical Services LLC 700 N Brand Blvd Ste 220 Glendale CA 91203-3235 Ph: (818) 905-1700 |
| NPI Number | 1164038709 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/18/2020 |
| Certification Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164038709 | NPI | - | NPPES |
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