# HEALTHY LIFE BARIATRICS A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthy life Bariatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891115622
- **Authorized official:** DR. BABAK MOEINOLMOLKI MD (PRESIDENT)
- **Authorized official phone:** (443) 831-2561

## Contact information

- **Practice address:** 2080 CENTURY PARK E, SUITE 1508, LOS ANGELES, CA 90067-2001
- **Practice address phone:** (310) 694-4486
- **Mailing address:** 1215 BROCKTON AVE APT 205, LOS ANGELES, CA 90025-1390
- **Mailing address phone:** (443) 831-2561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A92803 | CA | Yes |

## Other

- **Enumeration date:** 04/19/2014
- **Last updated:** 09/16/2014