NPI Code Detail JSON Logo

1417145376 NPI number — VITALITY HEALTH & WELLNESS, INC

NPI Number: 1417145376
Health Care Provider/Practitioner: VITALITY HEALTH & WELLNESS, INC

Information about “1417145376” NPI (VITALITY HEALTH & WELLNESS, INC) exists in 1417145376 in HTML format HTML  |  1417145376 in plain Text format TXT  |  1417145376 in PDF (Portable Document Format) PDF  |  1417145376 in an XML format XML  formats.

NPI Number : 1417145376 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417145376",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VITALITY HEALTH & WELLNESS, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2700 W. PACIFIC COAST HWY",
    "SecondLineMailingAddress": "#234",
    "MailingAddressCityName": "NEWPORT BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92663",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-955-3100",
    "MailingAddressFaxNumber": "949-743-1440",
    "FirstLinePracticeLocationAddress": "2700 W. PACIFIC COAST HWY",
    "SecondLinePracticeLocationAddress": "#234",
    "PracticeLocationAddressCityName": "NEWPORT BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92663",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-955-3100",
    "PracticeLocationAddressFaxNumber": "949-743-1440",
    "EnumerationDate": "10/04/2007",
    "LastUpdateDate": "10/04/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHOJAI",
    "AuthorizedOfficialFirstName": "PEDRAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "L.AC.",
    "AuthorizedOfficialTelephoneNumber": "949-955-3100",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "AC 8098",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.