| Vitality Medical Spa Inc. | |
|
1221 Rose Ave Selma CA 93662-3227 | |
| (559) 325-4447 | |
| Not Available |
| Full Name | Vitality Medical Spa Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1221 Rose Ave, Selma, California |
| Authorized Official Name and Position | Leticia Escoto (CEO) |
| Authorized Official Contact | 5593344143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Medical Spa Inc. Po Box 340 Kingsburg CA 93631-0340 Ph: (559) 325-4447 | Vitality Medical Spa Inc. 1221 Rose Ave Selma CA 93662-3227 Ph: (559) 325-4447 |
| NPI Number | 1053287664 |
|---|---|
| Provider Enumeration Date | 10/13/2025 |
| Last Update Date | 10/13/2025 |
| Certification Date | 10/13/2025 |
| Medicare PECOS PAC ID | 7618449620 |
|---|---|
| Medicare Enrollment ID | O20260610003035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053287664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Leticia Escoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649387309 PECOS PAC ID: 8729277561 Enrollment ID: I20110111000244 |
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