| Vitality Integrative Physicians | |
|
4000 Barranca Pkwy Ste 250 Irvine CA 92604-1713 | |
| (323) 451-2825 | |
| Not Available |
| Full Name | Vitality Integrative Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 4000 Barranca Pkwy Ste 250, Irvine, California |
| Authorized Official Name and Position | Akbar Nassiry (PRESIDENT) |
| Authorized Official Contact | 3234512825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Integrative Physicians 4000 Barranca Pkwy Ste 250 Irvine CA 92604-1713 Ph: (323) 451-2825 | Vitality Integrative Physicians 4000 Barranca Pkwy Ste 250 Irvine CA 92604-1713 Ph: (323) 451-2825 |
| NPI Number | 1194208322 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 09/13/2018 |
| Medicare PECOS PAC ID | 3577995745 |
|---|---|
| Medicare Enrollment ID | O20191111000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194208322 | NPI | - | NPPES |
| Provider Name | Puja Neupane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629325105 PECOS PAC ID: 9234374745 Enrollment ID: I20130403000255 |
| Provider Name | Akbar M Nassiry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003259870 PECOS PAC ID: 4284859299 Enrollment ID: I20140708001043 |
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