| NPI | 1427578848 |
|---|---|
| Former Legal Business Name | BODY SYSTEMS WELLNESS GROUP INC |
| Entity Type | Organization |
| Authorized Contact | SHAHEN KURESTIAN Provider 818-240-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007091) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC31558) |
| 111N00000X Chiropractor (Licence: CA DC27167) | |
| 111N00000X Chiropractor (Licence: CA DC33522) | |
| 208200000X Plastic Surgery (Licence: CA C35643) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A122407) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |