Organization
VITALITY HEALTH PLAN OF CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KELLY ROWAN (CIO)
(714) 587-7137
Entity
Organization
Contact information
Practice address
18000 STUDEBAKER RD STE 960, CERRITOS, CA 90703-2679
(833) 847-4584
(833) 848-1212
Mailing address
18000 STUDEBAKER RD STE 960, CERRITOS, CA 90703-2679
(833) 847-4584
(833) 848-1212
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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