NPI 1003032525

Vitality&longevity Medical Center a Professional Medical Corporation

Organisation Family Medicine Physician Santa Monica, CA

Practice location

Address: 2221 Lincoln Blvd Suite 200, Santa Monica, CA 90405-1320
Phone: (310) 581-8585
Fax: (320) 215-4650

Authorised official

Name: Douglas J Hopper
Title: President
Phone: (310) 581-8585

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence A21560 (CA)

Other Family Medicine providers in California →

Registry record

NPI: 1003032525
Entity type: Organization
NPI issued: 17 Apr 2007
Record last updated: 13 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.