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Organization
VITAL LIVING LLC
Active
Organization
VITAL LIVING LLC
Active
Other names
LTP Natural Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA NICK N.D. (CHIEF MEDICAL OFFICER)
(949) 715-9321
Entity
Organization
Contact information
Practice address
305 N COAST HWY, STE P, LAGUNA BEACH, CA 92651-1681
(949) 715-9321
(949) 340-5738
Mailing address
305 N COAST HWY, STE P, LAGUNA BEACH, CA 92651-1681
(949) 715-9321
(949) 340-5738
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-145
CA
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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