Premier Weight Loss Medical Clinic
Premier Weight Loss Medical Clinic provides Dietary Manager services in San Pedro, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
719 S Averill AveSan Pedro, CA 90732-3813 Not confirmed with CMS for 14 years — call before visiting
Phone: (310) 832-9080
Fax: (310) 832-9027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dietary Manager (primary) | Taxonomy 132700000X |
|---|
Record details
| NPI number | 1407115710 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristina Kutsina — Manager · (310) 832-9080 |
| NPI enumerated | May 7, 2012 |
| Last updated in NPPES | May 7, 2012 |
| Mailing address | 719 S Averill Ave, San Pedro, CA 90732-3813 |