# LIFETURN WEIGHT LOSS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598990061
- **Authorized official:** MRS. CHERYL CAROLINE DISON (PRESIDENT / FOUNDER)
- **Authorized official phone:** (949) 476-8876

## Contact information

- **Practice address:** 1601 DOVE ST, 193, NEWPORT BEACH, CA 92660-2433
- **Practice address phone:** (949) 476-8876
- **Practice address fax:** (949) 476-3028
- **Mailing address:** 1601 DOVE ST, 193, NEWPORT BEACH, CA 92660-2433
- **Mailing address phone:** (949) 476-8876
- **Mailing address fax:** (949) 476-3028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2009
- **Last updated:** 07/09/2009