Organization
FAZA DIETETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SILVERMAN (MANAGER)
(310) 230-5741
Entity
Organization
Contact information
Practice address
8491 W SUNSET BLVD # 438, WEST HOLLYWOOD, CA 90069-1911
(310) 230-5741
Mailing address
8491 W SUNSET BLVD # 438, WEST HOLLYWOOD, CA 90069-1911
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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