| NPI | 1346942133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN ZAGHI President 424-600-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2025-11-05 |