| Nutrition Medical Center Inc | |
|
6325 Topanga Canyon Blvd Suite 315 Woodland Hills CA 91367-2033 | |
| (818) 615-2888 | |
| Not Available |
| Full Name | Nutrition Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6325 Topanga Canyon Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Ian Yip (PRESIDENT) |
| Authorized Official Contact | 8186152888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrition Medical Center Inc 6325 Topanga Canyon Blvd Suite 315 Woodland Hills CA 91367-2033 Ph: (818) 615-2888 | Nutrition Medical Center Inc 6325 Topanga Canyon Blvd Suite 315 Woodland Hills CA 91367-2033 Ph: (818) 615-2888 |
| NPI Number | 1518191899 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 03/17/2015 |
| Medicare PECOS PAC ID | 6800082819 |
|---|---|
| Medicare Enrollment ID | O20101201001183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518191899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | G73119 (California) | Primary |
| Provider Name | Ian Yip |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770503955 PECOS PAC ID: 9931096542 Enrollment ID: I20040228000554 |
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