Healthcare Provider Details

I. General information

NPI: 1609093236
Provider Name (Legal Business Name): VILONA MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5546 ROSEMEAD BLVD SUITE 201
TEMPLE CITY CA
91780-1845
US

IV. Provider business mailing address

PO BOX 55901
SHERMAN OAKS CA
91413-0901
US

V. Phone/Fax

Practice location:
  • Phone: 626-287-1656
  • Fax: 626-287-1562
Mailing address:
  • Phone: 818-487-9100
  • Fax: 818-487-9111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberC27771
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberC24147
License Number StateCA

VIII. Authorized Official

Name: DR. GILBERT D CALLIS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 818-487-9100