| NPI | 1760676050 |
|---|---|
| Doing Business As | BEVERLY HILLS WEIGHT LOSS & WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSE R MEDINA Director 956-712-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80558) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |