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Organization
VITALITY PROHEALTH
Active
Organization
VITALITY PROHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD KHARAZMI MD (OWNER)
(949) 324-2151
Entity
Organization
Contact information
Practice address
27422 PORTOLA PKWY STE 200, LAKE FOREST, CA 92610-2836
(949) 324-2151
Mailing address
27422 PORTOLA PKWY STE 200, LAKE FOREST, CA 92610-2836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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