Individual
JOSEPH VITUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
13551 SEMORA PL, CERRITOS, CA 90703-8813
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
299265
CA
Other
Enumeration date
04/24/2021
Last updated
02/28/2022
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