VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION NPI 1003032525

Family Medicine in Santa Monica, CA

NPI 1003032525 Organization Family Medicine

About VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION

Vitality&longevity Medical Center A Professional Medical Corporation is a primary care provider established in Santa Monica, California specializing in family medicine. The NPI number of Vitality&longevity Medical Center A Professional Medical Corporation is 1003032525 and was assigned on April 2007. The practitioner's primary taxonomy code is 207Q00000X with license number A21560 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Vitality&longevity Medical Center A Professional Medical Corporation operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Douglas J Hopper M.d. (President)

A primary care provider (PCP) like Vitality&longevity Medical Center A Professional Medical Corporation sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1003032525

Provider NameVITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION
Provider Location Address2221 LINCOLN BLVD SUITE 200 SANTA MONICA, CA 90405
Provider Mailing Address2221 LINCOLN BLVD SUITE 200 SANTA MONICA, CA 90405
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-17-2007
Last Update Date06-13-2008


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.A21560
License StateCA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION
2221 LINCOLN BLVD
SUITE 200
SANTA MONICA, CA
ZIP 90405
Phone: (310) 581-8585
Fax: (320) 215-4650

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Mailing Address

VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION
2221 LINCOLN BLVD
SUITE 200
SANTA MONICA, CA
ZIP 90405
Phone: (310) 581-8585
Fax: (320) 215-4650



Authorized Official

Authorized Official NameDR. DOUGLAS J HOPPER M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(310) 581-8585

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851325716DR. DANIEL SHAHROOZ BEHROOZAN M..D.
Individual
Dermatology2221 LINCOLN BLVD SUITE 100
SANTA MONICA, CA 90405
(310) 392-1111
1831113257 MICHAEL ZARRABI MD
Individual
Plastic Surgery2221 LINCOLN BLVD STE 100
SANTA MONICA, CA 90405
(310) 392-5550
1427117373 DOUGLAS HOPPER M.D
Individual
Family Medicine2221 LINCOLN BLVD SUITE 200
SANTA MONICA, CA 90405
(310) 581-8585
1639234362BENJAMIN BEHROOZAN M D INC
Organization
Family Medicine2221 LINCOLN BLVD SUITE 200
SANTA MONICA, CA 90405
(310) 396-9999
1336291517DR. EHTERAM BENJI BEHROOZAN D.D.S.
Individual
Dentist (General Practice)2221 LINCOLN BLVD #200
SANTA MONICA, CA 90405
(310) 399-1100
1952453391DR. YOSI PAYAM BEHROOZAN D.D.S.
Individual
Dentist (General Practice)2221 LINCOLN BLVD SUITE 200
SANTA MONICA, CA 90405
(310) 399-1100
1427230184DR. EHTERAM BENJI BEHROOZAN
Organization
Dentist2221 LINCOLN BLVD #200
SANTA MONICA, CA 90405
(310) 399-1100
1285886150YOSI P. BEHROOZAN DDS INC.
Organization
Dentist2221 LINCOLN BLVD 200
SANTA MONICA, CA 90405
(310) 399-1100
1760544639DANIEL BEHROOZAN MD INC
Organization
Dermatology2221 LINCOLN BLVD #100
SANTA MONICA, CA 90405
(310) 392-1111

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.