Organization Name: | MEDICAL WEIGHT LOSS INSTITUTE, INC. |
NPI Number: | 1013290634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEJMAN ELI SHIRAZY (PRESIDENT / OWNER) |
Mailing Address: | 16952 Ventura Blvd Ste 200-b Encino |
State: | CA US |
Postal Code: | 913164197 |
Phone Number: | 8187893964 |
Fax Number: | 8187893967 |
NPI Enumeration Date: | 09/20/2011 |
NPI Last Update Date: | 09/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | A76100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |