Provider Demographics
NPI:1013721414
Name:HAPPY VITALS REMOTE HEALTH JC PC
Entity type:Organization
Organization Name:HAPPY VITALS REMOTE HEALTH JC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-230-5984
Mailing Address - Street 1:1700 AVENUE OF THE STATES
Mailing Address - Street 2:STE 101
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701
Mailing Address - Country:US
Mailing Address - Phone:310-230-5984
Mailing Address - Fax:310-421-4898
Practice Address - Street 1:1700 AVENUE OF THE STATES
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701
Practice Address - Country:US
Practice Address - Phone:310-230-5984
Practice Address - Fax:310-421-4898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty