| Vituity | |
|
179 Fairview Ln Sonora CA 95370-4809 | |
| (209) 536-5000 | |
| Not Available |
| Full Name | Vituity |
|---|---|
| Speciality | Internal Medicine |
| Location | 179 Fairview Ln, Sonora, California |
| Authorized Official Name and Position | Theophile Koury (PRESIDENT) |
| 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) 350-2600 | Vituity 179 Fairview Ln Sonora CA 95370-4809 Ph: (209) 536-5000 |
| NPI Number | 1881059657 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 03/30/2020 |
| Certification Date | 03/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881059657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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