NPI | 1003269945 |
---|---|
Doing Business As | BODYLOGICDO OF BEVERLY HILLS |
Entity Type | Organization |
Authorized Contact | LISA GORN President 512-571-2223 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 20A14618) |
Enumeration Date | 2016-07-15 |
Last Update Date | 2016-07-15 |