| Vituity | |
|
22855 Lake Forest Dr Suite A Lake Forest CA 92630-1656 | |
| (949) 770-1023 | |
| Not Available |
| Full Name | Vituity |
|---|---|
| Speciality | Family Medicine |
| Location | 22855 Lake Forest Dr, Lake Forest, California |
| Authorized Official Name and Position | David Birdsall (CFO) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vituity 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2638 | Vituity 22855 Lake Forest Dr Suite A Lake Forest CA 92630-1656 Ph: (949) 770-1023 |
| NPI Number | 1184096240 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 03/30/2020 |
| Certification Date | 03/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184096240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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