Organization
VITAL MEDICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES HAWKINS (PRESIDENT)
(714) 435-1904
Entity
Organization
Contact information
Practice address
3176 PULLMAN ST STE 104, COSTA MESA, CA 92626-3317
(714) 435-1904
(714) 435-1964
Mailing address
3176 PULLMAN ST STE 104, COSTA MESA, CA 92626-3317
(714) 435-1904
(714) 435-1964
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
05/20/2020
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