TYPE 2 THRIVING

LONG BEACH, CA
NPI1659157642
Entity TypeOrganization
Authorized ContactAUSTIN BOU
President
562-276-8057
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2023-09-05
Last Update Date2024-04-22
Business Address
TYPE 2 THRIVING
1716 E 53RD ST
LONG BEACH, CA 90805-6214
Phone number: 562-276-8057
Mailing Address
TYPE 2 THRIVING
17901 PIONEER BLVD STE L113
ARTESIA, CA 90701-3952
Phone number: