Organization
NITI V. PERUVEMBA, D.O., INC.
Active
Parent organization
NITI V. PERUVEMBA, D.O., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NITI V. PERUVEMBA, D.O., INC.
Authorized official
DR. NITI VAID (PRESIDENT/OWNER)
(818) 707-0290
Entity
Organization
Contact information
Practice address
32144 AGOURA RD, SUITE 118, WESTLAKE VILLAGE, CA 91361-4031
(818) 707-0290
(888) 431-8819
Mailing address
32144 AGOURA RD, SUITE 118, WESTLAKE VILLAGE, CA 91361-4031
(818) 707-0290
(818) 707-0291
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
20A8826
CA
Other
Enumeration date
05/20/2016
Last updated
03/11/2019
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