NPI 1235403866

Los Angeles Center for Medical Weight Loss

Organisation Dietary Manager Palmdale, CA

Practice location

Address: 623 W Avenue Q Suite a, Palmdale, CA 93551-3890
Phone: (661) 726-6255
Fax: (661) 726-6261

Authorised official

Name: Pamela de Sivla
Title: President
Phone: (661) 726-6255

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence A48894 (CA)

Other Dietary Manager providers in California →

Registry record

NPI: 1235403866
Entity type: Organization
NPI issued: 29 Feb 2012
Record last updated: 29 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.