Vitality Control Center Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VITALITY CONTROL CENTER INC

Practice address

8383 Wilshire Blvd Ste 228
Beverly Hills, CA 90211-2433

Phone

(855) 701-4040

NPI assigned

Mar 1, 2019

Organization subpart

No

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

Authorized official

Name

Amy Fawcett

Title

VP Finance

Phone

(949) 923-9545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1558828152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD STE 228",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112433",
            "telephone_number": "855-701-4040",
            "fax_number": "310-271-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD STE 228",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112433",
            "telephone_number": "855-701-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CONTROL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "949-923-9545"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.