Vitality&Longevity Medical Center A Professional Medical Corporation

LBN: Vitality&Longevity Medical Center A Professional Medical Corporation
Vitality&Longevity Medical Center A Professional Medical Corporation is an health care organization with primary practice located at 2221 Lincoln Blvd Suite 200, Santa Monica CA 90405-1320. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Vitality&Longevity Medical Center A Professional Medical Corporation can be contacted via phone (310) 581-8585, or through Hopper, Douglas J via phone (310) 581-8585.

Contact Information

Primary practice address
2221 Lincoln Blvd Suite 200 Santa Monica CA 90405-1320
Fax: (320) 215-4650
Website:
Authorized official contact:
Name: Hopper, Douglas J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A21560 California

Profile Details

NPI number 1003032525
LBN Legal business name Vitality&Longevity Medical Center A Professional Medical Corporation
DBA Doing business as
Authorized official Hopper, Douglas J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Jun 13th, 2008 - about 16 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.

Request for update

Popular Providers