# VALIA LIFESTYLE A MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valia Lifestyle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255161626
- **Authorized official:** DR. INGRID EDSHTEYN DO (OWNER)
- **Authorized official phone:** (201) 370-4704

## Contact information

- **Practice address:** 9229 WILSHIRE BLVD, BEVERLY HILLS, CA 90210-5501
- **Practice address phone:** (323) 282-7280
- **Practice address fax:** (888) 827-2167
- **Mailing address:** 9229 WILSHIRE BLVD, BEVERLY HILLS, CA 90210-5501
- **Mailing address phone:** (323) 282-7280
- **Mailing address fax:** (888) 827-2167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2024
- **Last updated:** 08/01/2024