Provider Demographics
NPI:1982599684
Name:FIRSTVITALS LLC
Entity type:Organization
Organization Name:FIRSTVITALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:GIN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-209-7555
Mailing Address - Street 1:2605 CAMINO TASSAJARA UNIT 2500
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-6032
Mailing Address - Country:US
Mailing Address - Phone:925-209-7555
Mailing Address - Fax:925-299-8010
Practice Address - Street 1:521 ALA MOANA BLVD STE 261
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4924
Practice Address - Country:US
Practice Address - Phone:808-589-0100
Practice Address - Fax:925-299-8010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology