Organization
OC VITALITY
Active
Other names
OC Vitality
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRI GRUER DAOM, LAC (OWNER)
(949) 632-6678
Entity
Organization
Contact information
Practice address
130 S CHAPARRAL CT STE 150, ANAHEIM, CA 92808-2279
(949) 215-1957
Mailing address
8215 E SOMERSET LN, ANAHEIM, CA 92808-2315
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
02/25/2023
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