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VITAL MEDICAL GROUP, INC
NPI 1124886437
Family Medicine in Glendale, CA

Active since March 11, 2024
1314 W GLENOAKS BLVD STE 205, GLENDALE, CA 91201(818) 396-5158(818) 396-5073 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2024, Apr 2, 2024 (2 updates tracked since 2024).

About Vital Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITAL MEDICAL GROUP, INC (NPI 1124886437) is a healthcare organization registered as a family medicine in Glendale, California and active in the NPI registry since March 2024. The organization lists Maxwell Jen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124886437
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVITAL MEDICAL GROUP, INC
Location Address1314 W GLENOAKS BLVD STE 205Glendale, CA 91201-4890
Mailing Address1314 W Glenoaks Blvd Ste 205Glendale, CA 91201-4890 · (818) 396-5158 · Fax (818) 396-5073
Phone(818) 396-5158
Fax(818) 396-5073
Organization SubpartNo
Authorized OfficialMaxwell JenMedical Director · (818) 396-5158
Enumeration DateMarch 11, 2024
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1124886437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family 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.
1314 W GLENOAKS BLVD STE 205, Glendale, CA 91201
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Group Practice 1

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vital Medical Group, Inc's NPI number?

The NPI number for Vital Medical Group, Inc is 1124886437. It was assigned to this organization in the NPPES registry on March 11, 2024.

Where is Vital Medical Group, Inc located?

Vital Medical Group, Inc is located at 1314 W Glenoaks Blvd Ste 205, Glendale, CA 91201. The listed phone number is (818) 396-5158.

What is Vital Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Vital Medical Group, Inc was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.