Organization
VITAL HEALTH MED GROUP INC
Active
Other names
BREATHE TOTAL BALANCE
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON LESSETT MARQUEZ (CLINIC DIRECTOR)
(424) 333-4896
Entity
Organization
Contact information
Practice address
350 W 5TH ST STE 105-B, SAN PEDRO, CA 90731-2737
(424) 333-4896
Mailing address
5237 PREMIERE AVE, LAKEWOOD, CA 90712-2715
(424) 333-4896
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NI0013X
Independent Medical Examiner Chiropractor
Primary
—
—
133N00000X
Nutritionist
—
—
163W00000X
Registered Nurse
—
—
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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