Vitaledge Care LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

VITALEDGE CARE LLC

Practice address

14340 Bolsa Chica Rd Ste J-1
Westminster, CA 92683-4868

Phone

(071) 472-3995

NPI assigned

Jun 29, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Son

Title

Manager

Phone

(071) 472-3995

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1003732355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14340 BOLSA CHICA RD STE J-1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834868",
            "telephone_number": "071-472-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14340 BOLSA CHICA RD STE J-1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834868",
            "telephone_number": "071-472-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALEDGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "071-472-3995"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Westminster, CA
• Providers in Westminster, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.