| NPI | 1699368860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIE NGUYEN Owner/CEO 818-293-7367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2023-09-22 |