Organization
VITALINK MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY YANEZ (PRESIDENT)
(909) 841-8346
Entity
Organization
Contact information
Practice address
7977 PRAIRIE ROSE WAY, HIGHLAND, CA 92346-5772
(909) 841-8346
Mailing address
7977 PRAIRIE ROSE WAY, HIGHLAND, CA 92346-5772
(909) 841-8346
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/05/2026
Last updated
05/15/2026
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