| Vituity | |
|
125 Vallecitos De Oro Suite A San Marcos CA 92069-1423 | |
| (760) 739-2971 | |
| Not Available |
| Full Name | Vituity |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 125 Vallecitos De Oro, San Marcos, California |
| Authorized Official Name and Position | David Birdsall (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vituity 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | Vituity 125 Vallecitos De Oro Suite A San Marcos CA 92069-1423 Ph: (760) 739-2971 |
| NPI Number | 1770938631 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770938631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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