Vita Ipa Medical Group, PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

VITA IPA MEDICAL GROUP, PC

Practice address

305 N Harbor Blvd Ste 219
Fullerton, CA 92832-1901

Phone

(213) 296-0352

Fax

(213) 277-8747

NPI assigned

Feb 12, 2026

Last updated

Feb 12, 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

Phillip Lim, DO

Title

President

Phone

(213) 296-0352

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1619829454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 W MALVERN AVE # 1186",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332106",
            "telephone_number": "213-296-0352",
            "fax_number": "213-277-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HARBOR BLVD STE 219",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321901",
            "telephone_number": "213-296-0352",
            "fax_number": "213-277-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA IPA MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-296-0352",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.