Organization
NOVA VITAE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN YADEGAR (PRESIDENT)
(818) 422-3442
Entity
Organization
Contact information
Practice address
5985 TOPANGA CANYON BLVD, WOODLAND HILLS, CA 91367-3623
(818) 422-3442
Mailing address
5985 TOPANGA CANYON BLVD, WOODLAND HILLS, CA 91367-3623
(818) 422-3442
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
11/27/2023
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