Individual
GEORGE VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6051 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2933
(323) 583-9999
(323) 583-1344
Mailing address
6051 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2933
(323) 583-9999
(323) 583-1344
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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