Organization
VYTRAC HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY BLIVAISS (VICE PRESIDENT)
(888) 889-8722
Entity
Organization
Contact information
Practice address
4500 PARK GRANADA STE 202-4526, CALABASAS, CA 91302-1663
(888) 889-8722
Mailing address
4500 PARK GRANADA STE 202-4526, CALABASAS, CA 91302-1663
(888) 889-8722
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
2083C0008X
Clinical Informatics Physician
—
—
246Y00000X
Health Information Specialist/Technologist
—
—
246Z00000X
Other Specialist/Technologist
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
07/21/2020
Last updated
05/25/2021
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