Organization
CALYX PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PRALL (CEO)
(206) 914-8548
Entity
Organization
Contact information
Practice address
1038 CHELSEA AVE, SANTA MONICA, CA 90403-4612
(424) 248-7701
Mailing address
1038 CHELSEA AVE, SANTA MONICA, CA 90403-4612
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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