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Organization
VITALITY HEALTHCARE MEDICAL CORP
Active
Organization
VITALITY HEALTHCARE MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRAM SHOJAI LAC (CEO)
(818) 382-7880
Entity
Organization
Contact information
Practice address
16500 VENTURA BLVD, SUITE 414, ENCINO, CA 91436-2011
(818) 382-7880
(818) 382-7886
Mailing address
16500 VENTURA BLVD, SUITE 414, ENCINO, CA 91436-2011
(818) 382-7880
(818) 382-7886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/02/2006
Last updated
01/09/2008
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