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Organization
VITAL MED HEALTH SOLUTIONS APC
Active
Organization
VITAL MED HEALTH SOLUTIONS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E BOHM MD (CEO)
(949) 551-0868
Entity
Organization
Contact information
Practice address
15375 BARRANCA PKWY STE I101, IRVINE, CA 92618-2209
(949) 551-0868
(866) 678-5321
Mailing address
15375 BARRANCA PKWY STE I101, IRVINE, CA 92618-2209
(949) 551-0868
(866) 678-5321
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
Other
Enumeration date
10/17/2019
Last updated
10/24/2019
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