# AIS MEDICAL FOODS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AIS MEDICAL FOODS, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033501101
- **Legal business name:** AIS MEDICAL FOODS, INC.
- **Authorized official:** ALLEN I. SALICK M.D. (PRESIDENT)
- **Authorized official phone:** (310) 855-9400

## Contact information

- **Practice address:** 8631 W 3RD ST, SUITE 1145E, LOS ANGELES, CA 90048-5901
- **Practice address phone:** (310) 855-9400
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 943-4180
- **Mailing address fax:** (888) 431-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A20866 | CA | Yes |

## Other

- **Enumeration date:** 02/26/2015
- **Last updated:** 10/19/2015