| NPI | 1457070021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZNEEN VISRAM Owner 949-696-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-02-14 |