Organization
VITALEN INPATIENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY (PRESIDENT)
(510) 851-7411
Entity
Organization
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 255-1000
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1826
(510) 851-7411
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
12/22/2020
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