| Vitalize Natural Medicine | |
|
1106 N La Cienega Blvd Ste 207 West Hollywood CA 90069-2493 | |
| (323) 524-5859 | |
| Not Available |
| Full Name | Vitalize Natural Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 1106 N La Cienega Blvd Ste 207, West Hollywood, California |
| Authorized Official Name and Position | Ryan Namdarkhan (PRESIDENT) |
| Authorized Official Contact | 3235245859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalize Natural Medicine 7741 Romaine St Apt 11 West Hollywood CA 90046-6224 Ph: (323) 590-1991 | Vitalize Natural Medicine 1106 N La Cienega Blvd Ste 207 West Hollywood CA 90069-2493 Ph: (323) 524-5859 |
| NPI Number | 1043823578 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043823578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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