VITAL HEALTH MEDICAL GROUP, INC. – NPI #1366839656
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

VITAL HEALTH MEDICAL GROUP, INC. is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1366839656 to VITAL HEALTH MEDICAL GROUP, INC. on April 24, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 5 years ago on Nov 17, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VITAL HEALTH MEDICAL GROUP, INC. below.

NPI Profile for
VITAL HEALTH MEDICAL GROUP, INC.

NPI Number
1366839656
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VITAL HEALTH MEDICAL GROUP, INC.
Primary location
6245 DE LONGPRE AVE FL 2
LOS ANGELES, CA 90028-8253
Phone: (323) 499-1350 Fax: (323) 798-3021
1 Other location(s):
2418 S Azusa Ave
West Covina, CA 91792-1527
Phone: (626) 667-8780
Fax: (626) 667-8781
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARCEL FILART
PRESIDENT
Phone: (323) 499-1350
Updated
Certification Date
Nov 17, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)		 CA A76022
207QG0300X
- Family Medicine / Geriatric Medicine		 CA A76022

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.