Organization
VITA IPA MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP LIM DO (PRESIDENT)
(213) 296-0352
Entity
Organization
Contact information
Practice address
305 N HARBOR BLVD STE 219, FULLERTON, CA 92832-1901
(213) 296-0352
(213) 277-8747
Mailing address
2271 W MALVERN AVE # 1186, FULLERTON, CA 92833-2106
(213) 296-0352
(213) 277-8747
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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