# NITI V. PERUVEMBA, D.O., INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NITI V. PERUVEMBA, D.O., INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568819415
- **Legal business name:** NITI V. PERUVEMBA, D.O., INC.
- **Authorized official:** DR. NITI VAID (PRESIDENT/OWNER)
- **Authorized official phone:** (818) 707-0290

## Contact information

- **Practice address:** 32144 AGOURA RD, SUITE 118, WESTLAKE VILLAGE, CA 91361-4031
- **Practice address phone:** (818) 707-0290
- **Practice address fax:** (888) 431-8819
- **Mailing address:** 32144 AGOURA RD, SUITE 118, WESTLAKE VILLAGE, CA 91361-4031
- **Mailing address phone:** (818) 707-0290
- **Mailing address fax:** (818) 707-0291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 20A8826 | CA | Yes |

## Other

- **Enumeration date:** 05/20/2016
- **Last updated:** 03/11/2019