Organization
ADVANCED ELEGANT WEIGHT LOSS & FAMILY HEALTH CLINIC A PROFESSIONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOSSA MAYA MD (OWNER & PRESIDENT)
(619) 455-0122
Entity
Organization
Contact information
Practice address
671 S MOLLISON AVE STE B, EL CAJON, CA 92020-6618
(619) 841-8148
(858) 248-8041
Mailing address
671 S MOLLISON AVE STE B, EL CAJON, CA 92020-6618
(619) 841-8148
(858) 248-8041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
04/14/2020
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