Organization
LA WEIGHT LOSS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARA SALAZAR (MANAGER)
(818) 774-2755
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD STE 106, ENCINO, CA 91316-3866
(818) 774-2755
(818) 343-1677
Mailing address
17609 VENTURA BLVD STE 106, ENCINO, CA 91316-3866
(818) 774-2755
(818) 343-1677
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
03/15/2023
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