Organization
VIBRANCE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN F. X. CLAIR M.D. (MEDICAL DIRECTOR)
(310) 866-9889
Entity
Organization
Contact information
Practice address
2772 TOWNSGATE RD, SUITE D, WESTLAKE VILLAGE, CA 91361-2903
(805) 379-0254
(805) 379-4541
Mailing address
2772 TOWNSGATE RD, SUITE D, WESTLAKE VILLAGE, CA 91361-2903
(805) 379-0254
(805) 379-4541
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
G51360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G51360
STATE MEDICAL LICENSE
CA
Enumeration date
04/20/2010
Last updated
03/10/2015
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