Organization Active NPI

Vital Living LLC

Doing business as LTP Natural Medical Center

  • Naturopath
  • Laguna Beach, CA
National Provider Identifier
1780849687
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-145 Issued in CA
Legal business name
VITAL LIVING LLC
Doing business as
LTP Natural Medical Center
Practice address
305 N Coast Hwy
Ste P
Laguna Beach, CA 92651-1681
Phone
(949) 715-9321
Fax
(949) 340-5738
NPI assigned
Jul 21, 2008
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. Gina Nick, N.D.
Title
Chief Medical Officer
Phone
(949) 715-9321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X ND-145 CA Primary

Addresses

Primary practice location

305 N Coast Hwy
Ste P
Laguna Beach, CA 92651-1681

Mailing address

305 N Coast Hwy
Ste P
Laguna Beach, CA 92651-1681
Phone (949) 715-9321

Other names 1

  • LTP Natural Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

305 N Coast Hwy
Ste P
Laguna Beach, CA 92651
Phone (949) 715-9321

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1780849687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N COAST HWY",
            "address_2": "STE P",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511681",
            "telephone_number": "949-715-9321",
            "fax_number": "949-340-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N COAST HWY",
            "address_2": "STE P",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511681",
            "telephone_number": "949-715-9321",
            "fax_number": "949-340-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "NICK",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "949-715-9321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTP Natural Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.