Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vital Medical Group, Inc

Organization Family Medicine Physician · NPI 1124886437

Vital Medical Group, Inc provides Family Medicine Physician services in Glendale, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1314 W Glenoaks Blvd Ste 205
Glendale, CA 91201-4890
Phone: (818) 396-5158
Fax: (818) 396-5073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124886437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maxwell Jen — Medical Director · (818) 396-5158
NPI enumeratedMarch 11, 2024
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address1314 W Glenoaks Blvd Ste 205, Glendale, CA 91201-4890

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