Vitality Prohealth - Primary Care in Lake Forest, CA

Vitality Prohealth is a primary clinic (Internal Medicine) in Lake Forest, California. The current practice location for Vitality Prohealth is 27422 Portola Pkwy Ste 200, Lake Forest, California. For appointments, you can reach them via phone at (949) 324-2151. The mailing address for Vitality Prohealth is 27422 Portola Pkwy Ste 200, Lake Forest, California.

Vitality Prohealth is licensed to practice in NU (license number ) and its NPI number is 1205759081. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (949) 324-2151.

Contact Information

Vitality Prohealth
27422 Portola Pkwy Ste 200
Lake Forest
CA 92610-2836
(949) 324-2151
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameVitality Prohealth
SpecialityInternal Medicine
Location27422 Portola Pkwy Ste 200, Lake Forest, California
Authorized Official Name and PositionMohammad Kharazmi (OWNER)
Authorized Official Contact9493242151
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vitality Prohealth
27422 Portola Pkwy Ste 200
Lake Forest
CA 92610-2836
Vitality Prohealth
27422 Portola Pkwy Ste 200
Lake Forest
CA 92610-2836

Ph: (949) 324-2151

NPI Details:

NPI Number1205759081
Provider Enumeration Date07/30/2026
Last Update Date07/30/2026
Certification Date07/30/2026

Medical Identifiers

Medical identifiers for Vitality Prohealth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205759081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (NU)Primary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.