| Medical Weight Loss Institute, Inc. | |
|
16952 Ventura Blvd Ste 200-b Encino CA 91316-4197 | |
| (818) 789-3964 | |
| (818) 789-3967 |
| Full Name | Medical Weight Loss Institute, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 16952 Ventura Blvd Ste 200-b, Encino, California |
| Authorized Official Name and Position | Pejman Eli Shirazy (PRESIDENT / OWNER) |
| Authorized Official Contact | 8187893964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Weight Loss Institute, Inc. 16952 Ventura Blvd Ste 200-b Encino CA 91316-4197 Ph: (818) 789-3964 | Medical Weight Loss Institute, Inc. 16952 Ventura Blvd Ste 200-b Encino CA 91316-4197 Ph: (818) 789-3964 |
| NPI Number | 1013290634 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013290634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A76100 (California) | Primary |
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