Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VITAL MEDICAL GROUP, INC
Active
Organization
VITAL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXWELL JEN MD (MEDICAL DIRECTOR)
(818) 396-5158
Entity
Organization
Contact information
Practice address
1314 W GLENOAKS BLVD STE 205, GLENDALE, CA 91201-4890
(818) 396-5158
(818) 396-5073
Mailing address
1314 W GLENOAKS BLVD STE 205, GLENDALE, CA 91201-4890
(818) 396-5158
(818) 396-5073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
04/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up