Vitality Medical Care Llc | |
15233 Ventura Blvd Ste 500 Sherman Oaks CA 91403-2231 | |
(800) 570-8160 | |
Not Available |
Full Name | Vitality Medical Care Llc |
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Speciality | Family Medicine |
Location | 15233 Ventura Blvd Ste 500, Sherman Oaks, California |
Authorized Official Name and Position | Mark Dorner (MANAGER) |
Authorized Official Contact | 8005708160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vitality Medical Care Llc 15233 Ventura Blvd Ste 500 Sherman Oaks CA 91403-2231 Ph: (800) 570-8160 | Vitality Medical Care Llc 15233 Ventura Blvd Ste 500 Sherman Oaks CA 91403-2231 Ph: (800) 570-8160 |
NPI Number | 1760231716 |
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Provider Enumeration Date | 05/14/2024 |
Last Update Date | 06/23/2025 |
Medicare PECOS PAC ID | 0840739959 |
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Medicare Enrollment ID | O20240903001672 |
Identifier | Type | State | Issuer |
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1760231716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Maria Cristina Ortiz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962494641 PECOS PAC ID: 0244226710 Enrollment ID: I20040421000697 |
Provider Name | Maria J Ordenana |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063157352 PECOS PAC ID: 2365813912 Enrollment ID: I20230119000652 |
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