MEDICAL WEIGHT LOSS INSTITUTE, INC.


Address: 16952 Ventura Blvd Ste 200-b, Encino, CA 91316-4197
Phone: 8187893964

MEDICAL WEIGHT LOSS INSTITUTE, INC. (NPI# 1013290634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013290634
Entity Type Organization
Organization Name MEDICAL WEIGHT LOSS INSTITUTE, INC.
Practice Address 16952 Ventura Blvd Ste 200-b
Encino
CA 91316-4197
Practice Telephone 8187893964
Practice Fax Number 8187893967
Mailing Telephone 8187893964
Mailing Fax Number 8187893967
Enumeration Date 2011-09-20
Last Update Date 2011-09-20
Authorized Official Name PEJMAN ELI SHIRAZY (PRESIDENT / OWNER)
Authorized Official Telephone 8187893964
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center A76100 CA Ambulatory Health Care Facilities

Office Location

Street Address 16952 VENTURA BLVD STE 200-B
City ENCINO
State CA
Zip Code 91316-4197

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1881118560 Paula Miley Marriage & Family Therapist 5535 Balboa Blvd #202, Encino, CA 91316 2017-08-03
1477088193 Rachela Conti Psychologist 5400 Balboa Blvd. #311, Encino, CA 91316 2017-05-01
1962857235 Jessica Shlager Occupational Therapist 6345 Balboa Boulevard Suite 120, Encino, CA 91316 2016-04-25
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326401985 Everest Medical Center, Inc. Clinic/Center 5400 Balboa Blvd Ste 331, Encino, CA 91316-5225 2016-03-31
1417349143 Peter C Nissler Dds A Dental Corp Clinic/Center 5400 Balboa Blvd Ste 229, Encino, CA 91316-5213 2015-03-04
1982946398 Ben Taub Medical Institute Clinic/Center 16055 Ventura Blvd Ste 1120, Encino, CA 91436-2612 2013-03-24
1225577273 Rachel Mcnally Lac. Clinic/Center 5363 Balboa Blvd Ste 436, Encino, CA 91316-2840 2017-02-22
1467813295 Lum Acupuncture and Herbal Medicine Clinic/Center 16101 Ventura Blvd Ste 343, Encino, CA 91436-2516 2016-03-07
1639562820 Kroger Clinic/Center 16325 Ventura Blvd, Encino, CA 91436-2101 2015-03-11
1467724732 Blueberry Medical Clinic/Center 5400 Balboa Blvd, Encino, CA 91316-1502 2012-02-02
1528366861 Dual Diagnosis Assessment and Treatment Center, Inc. Clinic/Center 16550 Ventura Blvd, Encino, CA 91436-2004 2011-03-10
1972704567 Robert Dardashti, D.c. Incorporated Clinic/Center 16661 Ventura Blvd, Suite 115, Encino, CA 91436-1914 2007-05-30
1265645717 Laser Eye Care of California, LLC Clinic/Center 16255 Ventura Blvd, Ste. 100, Encino, CA 91436-2302 2007-05-08
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Competitor

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City ENCINO
Zip Code 91316

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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