Individual
LUIS F VITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
1 CIVIC PLAZA DR, 625, CARSON, CA 90745-2243
(310) 549-4500
Mailing address
1542 E 218TH ST, CARSON, CA 90745-2441
(310) 830-7090
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
30302
CA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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