VITAL WELL
NPI 1164004768
Clinic/Center in Los Angeles, CA

Active since April 22, 2021
3939 VESELICH AVE APT 302, LOS ANGELES, CA 90039(808) 595-6237 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Vital Well NPPES

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

VITAL WELL (NPI 1164004768) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since April 2021. The organization lists Elizabeth Vitale, Owner, as its authorized official.

NPPES Registry Identity

NPI1164004768
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVITAL WELL
Location Address3939 VESELICH AVE APT 302Los Angeles, CA 90039-1485
Mailing Address3939 Veselich Ave Apt 302Los Angeles, CA 90039-1485 · (808) 595-6237
Organization SubpartNo
Authorized OfficialElizabeth VitaleOwner · (808) 595-6237
Enumeration DateApril 22, 2021
NPPES CertifiedApril 22, 2021
NPI 1164004768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3939 VESELICH AVE APT 302, Los Angeles, CA 90039

Other Identifiers 1

Medicaid1114366002CA

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.

Dietitian, Registered
3939 VESELICH AVE APT 302
LOS ANGELES, CA 90039
Clinic/Center (Health Service)
3939 VESELICH AVE APT 302
LOS ANGELES, CA 90039

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 Well's NPI number?

The NPI number for Vital Well is 1164004768. It was assigned to this organization in the NPPES registry on April 22, 2021.

Where is Vital Well located?

Vital Well is located at 3939 Veselich Ave Apt 302, Los Angeles, CA 90039. The listed phone number is (808) 595-6237.

What is Vital Well's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Vital Well was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.