# INTERNATIONAL PRE-DIABETES CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pre-Diabetes Professional Training Center, International Pre-Diabetes Center Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376080309
- **Authorized official:** DR. YVONNE E. GRANT PHARM.D. APP, CDE, B (CHIEF EXECUTIVE OFFICER (CEO))
- **Authorized official phone:** (818) 625-6756

## Contact information

- **Practice address:** 14500 ROSCOE BLVD., 4TH FLOOR, 4TH FLOOR, PANORAMA CITY, CA 91402
- **Practice address phone:** (818) 714-2066
- **Practice address fax:** (818) 387-6224
- **Mailing address:** 14421 GLORIETTA DR, SHERMAN OAKS, CA 91423-4533
- **Mailing address phone:** (818) 714-2066
- **Mailing address fax:** (818) 387-6224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WD0400X | Diabetes Educator Registered Nurse | — | CA | — |
| 174H00000X | Health Educator | — | CA | — |
| 1835G0303X | Geriatric Pharmacist | 10028 | CA | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | 38828 | CA | — |
| 251V00000X | Voluntary or Charitable Agency | — | CA | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 38828 | CA | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 96123 | CA | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/29/2017
- **Last updated:** 12/22/2021