Organization
VITAL LIVING LLC
Active
Other names
LTP Natural Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA NICK N.D. (CHIEF MEDICAL OFFICER)
(949) 715-9321
Entity
Organization
Contact information
Practice address
305 N COAST HWY, STE P, LAGUNA BEACH, CA 92651-1681
(949) 715-9321
(949) 340-5738
Mailing address
305 N COAST HWY, STE P, LAGUNA BEACH, CA 92651-1681
(949) 715-9321
(949) 340-5738
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-145
CA
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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