Vitaboost Wellness

LBN: Vitaboost Wellness
Vitaboost Wellness is an health care organization with primary practice located at 20955 Devonshire St , Chatsworth CA 91311-2313. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Vitaboost Wellness can be contacted via phone (310) 877-8067, or through Ford, Audra Elaine via phone (310) 877-8067.

Contact Information

Primary practice address
20955 Devonshire St Chatsworth CA 91311-2313
Fax: (818) 280-3874
Website:
Authorized official contact:
Name: Ford, Audra Elaine Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1891450250
LBN Legal business name Vitaboost Wellness
DBA Doing business as
Authorized official Ford, Audra Elaine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2021
Last updated Nov 1st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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