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Organization
GINA HABEEB PHYSICIAN ASSISTANT INC
Active
Organization
GINA HABEEB PHYSICIAN ASSISTANT INC
Active
Other names
VITALITY CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
GINA HABEEB PA-C (OWNER)
(310) 619-7370
Entity
Organization
Contact information
Practice address
2790 SKYPARK DR STE 210, TORRANCE, CA 90505-5388
(310) 619-7370
(888) 451-7370
Mailing address
3400 BAHIA PL, RIVERSIDE, CA 92507-4023
(310) 619-7370
(888) 451-3500
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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