| Vitality&longevity Medical Center A Professional Medical Corporation | |
|
2221 Lincoln Blvd Suite 200 Santa Monica CA 90405-1320 | |
| (310) 581-8585 | |
| (320) 215-4650 |
| Full Name | Vitality&longevity Medical Center A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 2221 Lincoln Blvd, Santa Monica, California |
| Authorized Official Name and Position | Douglas J Hopper (PRESIDENT) |
| Authorized Official Contact | 3105818585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality&longevity Medical Center A Professional Medical Corporation 2221 Lincoln Blvd Suite 200 Santa Monica CA 90405-1320 Ph: (310) 581-8585 | Vitality&longevity Medical Center A Professional Medical Corporation 2221 Lincoln Blvd Suite 200 Santa Monica CA 90405-1320 Ph: (310) 581-8585 |
| NPI Number | 1003032525 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 06/13/2008 |
| Medicare PECOS PAC ID | 1557422987 |
|---|---|
| Medicare Enrollment ID | O20081204000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003032525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A21560 (California) | Primary |
| Provider Name | Douglas J Hopper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427117373 PECOS PAC ID: 1153482583 Enrollment ID: I20090204000284 |
Cynthia Kodama, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2104 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-882-8258 | |
Premier Medical Group. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 304, Santa Monica, CA 90404 Phone: 310-420-9191 | |
Santa Monica Bay Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd, 1070, Santa Monica, CA 90404 Phone: 310-315-7900 Fax: 310-315-7931 | |
Santa Monica Bay Physicinas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 15th St, 1501, Santa Monica, CA 90404 Phone: 310-656-1700 Fax: 310-458-1061 | |
Jimmy C. Huang, D.o. A Professional Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Santa Monica Blvd., Suite C, Santa Monica, CA 90404 Phone: 310-828-1708 Fax: 310-828-1705 | |
Joseph J Pinzone M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd Ste 1190w, Santa Monica, CA 90404 Phone: 888-580-5900 Fax: 855-510-0119 |