Vitality Health & Wellness, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 8098 Issued in CA

Legal business name

VITALITY HEALTH & WELLNESS, INC

Practice address

2700 W. Pacific Coast Hwy
#234
Newport Beach, CA 92663

Phone

(949) 955-3100

Fax

(949) 743-1440

NPI assigned

Oct 4, 2007

Last updated

Oct 4, 2007By 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

Pedram Shojai, L.AC.NPI 1699963553

Title

Ceo

Phone

(949) 955-3100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pedram Shojai, L.AC.

  • Acupuncturist
  • Newport Beach, CA
  • NPI 1699963553
  Authorized official Same address or phone

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1417145376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W. PACIFIC COAST HWY",
            "address_2": "#234",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-955-3100",
            "fax_number": "949-743-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W. PACIFIC COAST HWY",
            "address_2": "#234",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-955-3100",
            "fax_number": "949-743-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH & WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "SHOJAI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-955-3100",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 8098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.