Organization
PRO VITAL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD QUREASHI MD (MEDICAL DIRECTOR)
(909) 284-9942
Entity
Organization
Contact information
Practice address
1245 W 6TH ST UNIT 105, CORONA, CA 92882-1870
(909) 284-9942
(909) 284-9943
Mailing address
1245 W 6TH ST UNIT 105, CORONA, CA 92882-1870
(909) 284-9942
(909) 284-9943
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
05/19/2026
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