# VIBRANCE MEDICAL GROUP

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

## Provider details

- **NPI number:** 1821314519
- **Authorized official:** DR. DARREN F. X. CLAIR M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 866-9889

## Contact information

- **Practice address:** 2772 TOWNSGATE RD, SUITE D, WESTLAKE VILLAGE, CA 91361-2903
- **Practice address phone:** (805) 379-0254
- **Practice address fax:** (805) 379-4541
- **Mailing address:** 2772 TOWNSGATE RD, SUITE D, WESTLAKE VILLAGE, CA 91361-2903
- **Mailing address phone:** (805) 379-0254
- **Mailing address fax:** (805) 379-4541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | G51360 | CA | Yes |

## Other

- **Enumeration date:** 04/20/2010
- **Last updated:** 03/10/2015