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Organization
VITUM MEDICAL, INC
Active
Organization
VITUM MEDICAL, INC
Active
Other names
The Collective
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY N MAR MD (CEO)
(714) 272-6282
Entity
Organization
Contact information
Practice address
304 TEJON PL, PALOS VERDES ESTATES, CA 90274-1204
(714) 272-6282
Mailing address
9473 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/18/2024
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