VN HEALTHY LIVING MEDICAL GROUP INC
NPI 1154030955
Internal Medicine in Imperial Beach, CA

Active since November 21, 2022CLIA 05D2306108 · Waiver
707 PALM AVE, IMPERIAL BEACH, CA 91932(619) 429-7700 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2024, May 16, 2023, Feb 3, 2023 and 1 more (4 updates tracked since 2022).

About Vn Healthy Living Medical Group Inc NPPES

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

VN HEALTHY LIVING MEDICAL GROUP INC (NPI 1154030955) is a healthcare organization registered as an internal medicine in Imperial Beach, California and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Vijay Kuppurajan, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1154030955
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVN HEALTHY LIVING MEDICAL GROUP INC
Location Address707 PALM AVEImperial Beach, CA 91932-1229
Mailing Address707 Palm AveImperial Beach, CA 91932-1229 · (619) 429-7700
Organization SubpartNo
Authorized OfficialVijay KuppurajanPhysician Owner · (619) 955-0807
Enumeration DateNovember 21, 2022
Last NPPES UpdateNovember 11, 20244 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
NPI 1154030955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
707 PALM AVE, Imperial Beach, CA 91932

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2306108

Vn Healthly Living Medical Group Inc · Imperial Beach, CA
Active · expires Jun 10, 2028
CLIA Number05D2306108
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorVijay K. Kuppurajan
Laboratory Phone(619) 429-7700
Laboratory LocationVn Healthly Living Medical Group Inc707 Palm Ave, Imperial Beach, CA 91932
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
707 PALM AVE
IMPERIAL BEACH, CA 91932
Family Medicine
707 PALM AVE
IMPERIAL BEACH, CA 91932

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 Vn Healthy Living Medical Group Inc's NPI number?

The NPI number for Vn Healthy Living Medical Group Inc is 1154030955. It was assigned to this organization in the NPPES registry on November 21, 2022.

Where is Vn Healthy Living Medical Group Inc located?

Vn Healthy Living Medical Group Inc is located at 707 Palm Ave, Imperial Beach, CA 91932. The listed phone number is (619) 429-7700.

What is Vn Healthy Living Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Vn Healthy Living Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2306108) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vn Healthy Living Medical Group Inc was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.