| NPI | 1790561405 |
|---|---|
| Doing Business As | BLUE ZONES HEALTH OF CALIFORNIA |
| Former Legal Business Name | HEALTHLY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | WAYNE DYSINGER Owner 909-855-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-08-08 |