Organization
ADVANCE BARIATRIC CENTER, MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOUSHMAND JOSEPH NAIM M.D., F.A.C.S. (PRESIDENT / MEDICAL DIRECTOR)
(310) 684-4070
Entity
Organization
Contact information
Practice address
301 N AVALON BLVD, WILMINGTON, CA 90744-5801
(310) 684-4070
(310) 684-4077
Mailing address
301 N AVALON BLVD, WILMINGTON, CA 90744-5801
(310) 684-4070
(310) 684-4077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A81554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A815540
—
CA
Enumeration date
07/20/2007
Last updated
05/30/2023
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