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Organization
VITALITY HEALTH PLUS MEDICAL GROUP
Active
Organization
VITALITY HEALTH PLUS MEDICAL GROUP
Active
Other names
Vitality Health Plus Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA PRASAD MD (OWNER)
(310) 237-0023
Entity
Organization
Contact information
Practice address
8711 VENICE BLVD, LOS ANGELES, CA 90034-3216
(310) 237-0023
Mailing address
PO BOX 20040, ENCINO, CA 91416-0040
(818) 884-9400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
07/29/2021
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