# VITALITY HEALTHCARE MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245298256
- **Authorized official:** PEDRAM SHOJAI LAC (CEO)
- **Authorized official phone:** (818) 382-7880

## Contact information

- **Practice address:** 16500 VENTURA BLVD, SUITE 414, ENCINO, CA 91436-2011
- **Practice address phone:** (818) 382-7880
- **Practice address fax:** (818) 382-7886
- **Mailing address:** 16500 VENTURA BLVD, SUITE 414, ENCINO, CA 91436-2011
- **Mailing address phone:** (818) 382-7880
- **Mailing address fax:** (818) 382-7886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 01/09/2008