Organization
MEDICAL WEIGHT LOSS INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEJMAN ELI SHIRAZY M.D. (PRESIDENT / OWNER)
(818) 789-3964
Entity
Organization
Contact information
Practice address
16952 VENTURA BLVD STE 200-B, ENCINO, CA 91316-4197
(818) 789-3964
(818) 789-3967
Mailing address
16952 VENTURA BLVD STE 200-B, ENCINO, CA 91316-4197
(818) 789-3964
(818) 789-3967
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A76100
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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