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Organization
VITALITY HEALTH PLAN OF CALIFORNIA, INC.
Active
Organization
VITALITY HEALTH PLAN OF CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KELLY ROWAN (CIO)
(714) 587-7137
Entity
Organization
Contact information
Practice address
18000 STUDEBAKER RD STE 960, CERRITOS, CA 90703-2679
(833) 847-4584
(833) 848-1212
Mailing address
18000 STUDEBAKER RD STE 960, CERRITOS, CA 90703-2679
(833) 847-4584
(833) 848-1212
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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