Vitaboost Wellness Center

LBN: Vitaboost Wellness Center
Vitaboost Wellness Center 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 Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Vitaboost Wellness Center 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
Phone: (310) 877-8067
Fax: (818) 280-3874
Website:
Map and Directions
Authorized official contact:
Name: Ford, Audra Elaine Doctor of Medicine (MD)
Phone: (310) 877-8067

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1518627033
LBN Legal business name Vitaboost Wellness Center
DBA Doing business as
Authorized official Ford, Audra Elaine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2021
Last updated Dec 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518627033 NPPES
California Other 553460 MEDICAL BOARD OF CALIFORNIA

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