Organization · Type 2 NPI

Avitality Medical Professional Corporation

Family Medicine Physician · Ontario, CA

NPI number 1457269136 Active

Practice location

653 E E St Ste 109
Ontario, CA 91764-4257

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: 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.

3 other providers at this address

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About NPI 1457269136

Avitality Medical Professional Corporation's National Provider Identifier is 1457269136, issued on Sep 1, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ontario, CA. The record was last updated on Sep 13, 2026.