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Organization

VITUM MEDICAL, INC

Active
Other names
The Collective
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY N MAR MD (CEO)
(714) 272-6282
Entity
Organization

Contact information

Practice address
304 TEJON PL, PALOS VERDES ESTATES, CA 90274-1204
(714) 272-6282
Mailing address
9473 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
07/11/2024
Last updated
07/18/2024
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