| Mdietician Inc | |
|
7100 Hayvenhurst Ave Ste 204 Van Nuys CA 91406-3804 | |
| (213) 415-1990 | |
| (213) 415-1940 |
| Full Name | Mdietician Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7100 Hayvenhurst Ave Ste 204, Van Nuys, California |
| Authorized Official Name and Position | Tsz Ying Lee (CEO) |
| Authorized Official Contact | 2134151990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdietician Inc 7100 Hayvenhurst Ave Ste 204 Van Nuys CA 91406-3804 Ph: (213) 415-1990 | Mdietician Inc 7100 Hayvenhurst Ave Ste 204 Van Nuys CA 91406-3804 Ph: (213) 415-1990 |
| NPI Number | 1659672376 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659672376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A99205 (California) | Primary |
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