Organization · Type 2 NPI
Vivid Med Spa, Professional Corporation
Infusion Therapy Clinic/Center · Ukiah, CA
NPI number
1619823036
Active
Practice location
166 E Gobbi St
Ukiah, CA 95482-4918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Infusion Agency | 251F00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
Other infusion therapy clinic/center providers in Ukiah
About NPI 1619823036
Vivid Med Spa, Professional Corporation's National Provider Identifier is 1619823036, issued on Mar 9, 2026. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Ukiah, CA. The record was last updated on Mar 9, 2026.