# VITALITY HEALTH PLAN OF CALIFORNIA, INC.

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

## Provider details

- **NPI number:** 1306334685
- **Authorized official:** MICHAEL KELLY ROWAN (CIO)
- **Authorized official phone:** (714) 587-7137

## Contact information

- **Practice address:** 18000 STUDEBAKER RD STE 960, CERRITOS, CA 90703-2679
- **Practice address phone:** (833) 847-4584
- **Practice address fax:** (833) 848-1212
- **Mailing address:** 18000 STUDEBAKER RD STE 960, CERRITOS, CA 90703-2679
- **Mailing address phone:** (833) 847-4584
- **Mailing address fax:** (833) 848-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2018
- **Last updated:** 04/23/2018