| NPI | 1932461902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIOS MICHAEL Doctor 626-440-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education (Licence: CA CNS16073) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |