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Organization
VN HEALTHY LIVING MEDICAL GROUP INC
Active
Organization
VN HEALTHY LIVING MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY KUPPURAJAN MD (PHYSICIAN OWNER)
(619) 955-0807
Entity
Organization
Contact information
Practice address
707 PALM AVE, IMPERIAL BEACH, CA 91932-1229
(619) 429-7700
Mailing address
707 PALM AVE, IMPERIAL BEACH, CA 91932-1229
(619) 429-7700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/11/2024
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