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Search › California › 101YA0400X

Justin Vitale

NPI 1598269789 · on the registry since 2018 · sole proprietor

Practice

Address
11721 Telegraph Rd
Santa Fe Springs, CA 90670
Phone
(562) 949-8455
Organisation at this address
Josue Diaz
Rivendell Inc.
Pacific Clinics
Pacific Clinics
Pacific Clinics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
176

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
225400000X
Sex
Male
Record last updated
2025-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California