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Organization
NOURISHING WELLNESS MEDICAL CENTER
Active
Organization
NOURISHING WELLNESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN HERMANN PETERS M.D. (PRESIDENT/MEDICAL DIRECTOR)
(310) 373-7830
Entity
Organization
Contact information
Practice address
819 N HARBOR DR STE 310, REDONDO BEACH, CA 90277-2056
(310) 373-7830
(310) 373-7830
Mailing address
819 N HARBOR DR STE 310, REDONDO BEACH, CA 90277-2056
(310) 373-7830
(310) 373-7840
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
04/20/2020
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