NPI 1356738769

Metabolic Medicine & Fitness Center

Organisation Preferred Provider Organization Tustin, CA

Practice location

Address: 17542 17th St Suite 410, Tustin, CA 92780-1959
Phone: (714) 541-4343
Fax: (714) 835-9550

Authorised official

Name: Eric H. Pham
Title: Medica Doctor/ Owner
Phone: (714) 541-4343

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence A78428B (CA)

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Registry record

NPI: 1356738769
Entity type: Organization
NPI issued: 23 Apr 2015
Record last updated: 20 Jun 2018

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.