| Organization Name: | HEALTHY LIFESTYLES AND PRESCRIPTIVE EXERCISE |
| NPI Number: | 1104256924 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARTEMIO PEREZ (SECRETARY) |
| Mailing Address: | 1301 Pinole Valley Rd Pinole |
| State: | CA US |
| Postal Code: | 945641384 |
| Phone Number: | 9252434100 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2013 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |