# SUCCESS IN LIFE WEIGHT MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lite for Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871875492
- **Authorized official:** LINDA J HICKS (OWNER)
- **Authorized official phone:** (650) 323-5483

## Contact information

- **Practice address:** 713 OAK GROVE AVE, MENLO PARK, CA 94025-4319
- **Practice address phone:** (650) 323-5483
- **Mailing address:** 713 OAK GROVE AVE, MENLO PARK, CA 94025-4319
- **Mailing address phone:** (650) 323-5483

## Taxonomy

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

## Other

- **Enumeration date:** 09/10/2011
- **Last updated:** 09/10/2011