Organization
VITALI SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAOQI LI (MANAGER)
(626) 538-7296
Entity
Organization
Contact information
Practice address
2555 E COLORADO BLVD # 306B, PASADENA, CA 91107-6622
(626) 538-7296
Mailing address
2555 E COLORADO BLVD # 306B, PASADENA, CA 91107-6622
(626) 538-7296
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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