Organization
VITAL AESTHETICS AND MEDICAL CENTRE INC
Active
Organization
VITAL AESTHETICS AND MEDICAL CENTRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C KEECH M.D. (PRESIDENT /CEO)
(424) 352-0326
Entity
Organization
Contact information
Practice address
1403 LOMITA BLVD STE 307, HARBOR CITY, CA 90710-2085
(424) 352-0326
Mailing address
1403 LOMITA BLVD STE 307, HARBOR CITY, CA 90710-2085
(424) 352-0326
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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