| NPI | 1699254532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE WU CEO 323-628-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: CA 86108369) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |