L-Newco

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

L-NEWCO

Practice address

370 Convention Way
Redwood City, CA 94063-1405

Phone

(401) 545-0716

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Aqil Safdar

Title

Coo

Phone

(401) 545-0716

Specialties & licenses 3

Addresses

Other names 1

• VITALITI Doing business as

Locations

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1205660883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CONVENTION WAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CONVENTION WAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631405",
            "telephone_number": "401-545-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L-NEWCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "SAFDAR",
        "authorized_official_first_name": "AQIL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "401-545-0716"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITALITI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Kwan, PT, DPT
• Katie Kwan
• Sukbun Louisa Kwan
• Anna Kwok, LVN
• CHI-Wai Gerry Kwok, MD
• Tina Louise La Perle
• Jason Anthony Martins La Rosa, DPT
• La Vita Clinic
• Alicia La, DO
• Janet La, MD

• Internal Medicine Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.