Organization
GINA HABEEB PHYSICIAN ASSISTANT INC
Active
Other names
VITALITY CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
GINA HABEEB PA-C (OWNER)
(310) 619-7370
Entity
Organization
Contact information
Practice address
2790 SKYPARK DR STE 210, TORRANCE, CA 90505-5388
(310) 619-7370
(888) 451-7370
Mailing address
3400 BAHIA PL, RIVERSIDE, CA 92507-4023
(310) 619-7370
(888) 451-3500
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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